1. Bedside Report & Hourly Rounding

2. Roll Out Screen savers with what pts should expect
Table Tents in rooms
Involvement & Decision making in your care
Bedside report to involve you in your care
Hourly Rounding to insure your needs are met
Minimizing your pain

3. Create Expectations for Bedside Report
Involve patient and families
Greet pt and confirm 2 pt identifiers
Introduce self and oncoming nurse
Write name on white board
Give complete handoff at pt bedside
Use 21 point nursing Handoff

4. Bedside Report Run all lines Confirm IVF hanging and rates by both RNs
Check Alaris Pump for correct profile and patient VIN
Check line dressings and dates

5. Bedside Report Look at wounds / complete focus assessment
Write nursing Goals / Plan on white board
Count Narcotics – document in iView
Review orders / task list
Sensitive information only outside of room

6. Hourly Rounding
Quality of our rounding is as important as the quantity of rounding.
Round on all patients every hour.
Document this rounding each hour on the log sheet located at each patients bedside. Exceptions- ICU’s, MUPC.
Rounding needs to be multidisciplinary.

7. The “P’s” of Hourly Rounding
Every hour, ask our patients &/or their family the 6 P’s:
Pain: Ask patient if they are having pain.
Position: Ask pt if they want to reposition (bed to chair, turn, etc.).
Personal Care: Ask if pt needs assistance to the restroom.
Pumps: Check IV site/fluids hanging.
Possessions: Assure call light & possessions close.
Path: Assure the pt’s path in room is free of clutter.

8. Hourly Rounding MS Report

10. IMPLEMENTATION Reestablish expectations Educate Staff
Educate pts and families

11. Measurement of Success
NRC Picker Scores
How often did nurses explain things in a way that you could understand
How often did nurses listen carefully to you
How often were you given enough input or say in your care
How often were you & your family included in discussions about your care

12. Patient Audits
Will do a blitz of auditing 10 pts a week for 4 weeks with data sent to Becky
Did your last nurse introduce your current nurse?
To what extent did you feel involved in the shift report communications
Did the nurse allow you to ask questions during the shift report?

13. Did your nurse listen carefully to your questions?
Were your questions explained in a way that you could understand?
Do you feel that this type of communication makes you and your family feel included in your care?

14. Weekly Hourly Rounding Audit Date: ________
5West
number of times hourly rounding completed in last 24hrs
number of hourly rounding opportunities in last 24 hours
comments
UNIT
Bed 4-1
Recommendations
Bed 5-1 12 20
Bed 6-1 14 24
Bed 10
**One 24 hr period/week x 4 weeks
Bed 11-1
Bed 12
Bed 13-1
If > 90% compliance, continue with spot checks
Bed 14-1
at manager's discretion
Bed 15-1
Bed 16-1
Bed 17-1
Bed 17-2
Report results to Becky Wright.
Bed 18-1 16 18
Bed 18-2
Bed 19-1
Bed 25
Bed 26
Bed 27
Bed 28 23
Bed 29
Bed 30
Bed 31
Bed 32
Bed 38-1
Bed 39-1
Bed 41-1
Bed 41-2
Bed 42-1
Bed 56-3
Total
113
134
84.33%
#DIV/0!

15. Bedside Report & Hourly Rounding
What questions do you have?
Thank you!