1. Rounding for Patients, Physicians and Staff
Karen Carlson MSN,RN,CRN Nursing Director Endoscopy and Minor Procedures

2. Objectives
Describe the leader role in rounding to improve patient, physician and staff satisfaction”.
Effectiveness and evaluation of rounding
Improve patient, staff and physician satisfaction

3. Leadership
Power and influence are key elements in developing a successful leadership role. Dr. Diana Mason states “power is used effectively to build relationships” which is critical in advancing the nursing profession (Laureate Education, 2010).

4. Studer
Suburban hospital partner with Studer little over three years ago
Monthly onsite coaching visits
Leadership development institute quarterly
Directors/Managers responsibilities

5. Rounding Improves patient, staff, and physicians satisfaction
Patient and family engagement
Promotes team work and cohesive with unit
Engagement

6. Staff Rounding Develop personal connection with employee
Spend 5-10 minutes with each employee monthly ( may take longer) Location of rounding
Develop standard questions for rounding
Utilize key elements with in the unit
Ability for staff to recognize each other

7. Staff Rounding Form

8. Staff Rounding Questions
Change questions
Gather data
Gear questions to improvement process
Review previous survey questions

9. Staff Recognition from Peers
Positive feedback
Recognize a colleague, physician or any one within the organization
Questions asked
Who would you like to recognize
How did one demonstrate going above and beyond

10. Staff Recognition Staff meetings
Presentation of awards (group setting)
Display awards picture frame
Notes to home

11. Rounding Awards

12. Awards

13. Awards

14. Staff Recognition for Compassion

15. Stop Light Report Tool design to finalize rounding results
Staff concerns are heard
Review and discuss action plan with staff
Display on bulletin board
Reviewed and updated status
Goal to move items to green

16. Stop Light Report Red Cant complete at this time /here's why
Policies/Procedures
Yellow Work in progress needs improvement
Define strategies to improve area
Staff engagement
GrGreen Complete ( we do it well

17. Stop Light Report

18. Green/Complete
Team work Great job staff feel that unit is working well together 
EPIC staff like EPIC assist with decrease in errors and mistakes can navigate system
 Great team work staff works well together unit organized physicians happy  

19. Yellow/needs improvement
EPIC Charges improvement with PACU times, supplies
Kronos time and edit sheets complete time and edit sheets
Specimens intra-op and pathology req completed
EPIC scanning documents operative report, history and physical

20. Red (can not change) Policies/Protocols
Computerized documentation system

21. Physician Rounding Key in successful relationships
Collaborative partnership
Teamwork
Positive and Negative Feedback
Effective communication strategies

22. Physician Recognition

23. Physicians Thank you Notes

24. Patient Rounding Round and introduce yourself Met family members
Primary nurse
Address concerns real time
Follow up

25. Patient Rounding Hourly rounding
Charge nurse/ nursing manager rounding
Improve patient outcomes
Improve patient satisfaction

26. Patient Satisfaction Identify areas for improvement
Identify areas working well
Patient satisfied prior to discharge

27. Huddles Staff huddles Key elements Ability to dissimilate information
Daily Huddles

28. Interdepartmental Rounding
Managers/directors rate departments as to their service
Enhance and improve interdepartmental communication
Customer service and satisfaction
Results
Follow up

29. Evaluation Rounding Increase patient satisfaction results
Employee engagement survey
Improve patient outcomes

30. Summary
Using tools and techniques to improve patient, staff and physician satisfaction
Emphasizes on collaborative team approach to patient care
Foster communication

31. References
Laureate Education, Inc. (Producer). (2010). Power and Influence [DVD]. In The nurse leader: New perspectives on the profession. Baltimore, MD: Author.