What If You Could Reduce call lights by 38 Reduce patient falls by 50 Reduce skin breakdown by 14 Improve patient satisfaction by 12 points AND Gain back 166 hours per month back to nursing staff ID: 576175
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Slide1
Commitment to Excellence: Hourly Rounding Slide2
What If You Could…..
Reduce call lights by 38%
Reduce patient falls by 50%
Reduce skin breakdown by 14%
Improve patient satisfaction by 12 points AND
Gain back 166 hours per month back to nursing staff?Slide3
Hourly RoundingSlide4
However….
You must instruct the patient and/or family on admission about hourly rounding (scripting). Tell about the 8 behaviors and the documentation.
Must be done consistently by each caregiver. Every Patient, Every Time.Slide5
8 Behaviors of Hourly Rounding
Key words/Introduction
Perform scheduled tasks
Address Pain, Potty, Position
Address other comfort needs
Conduct environmental rounds
Use closing key words/actions
Explain when you will return
Document the round on logSlide6
Key Words/Introduction
Key Words let the patient know who you are, what your role is and level of expertise.
“Round” is a familiar term with patients and they know – if consistent – what to expect each time.
This consistency builds trust and helps to reduce patient anxiety.Slide7
Perform Scheduled Tasks
Complete any scheduled tasks that are needed for that patient.
Included would be medications scheduled for that hour, treatments, procedures, feedings, etc.
Allows inclusion of scheduled work in the rounding process so that everything can be accomplished in just one trip.Slide8
Assess and address the 3 P’s
Address the 3 items that call lights are used most often – pain, potty and position.
Address
proactively and you
can reduce majority of call lights.Slide9
Address Additional Comfort Needs
Fluffing pillows
Straightening sheets
Filling water pitchers
Offering something to drinkSlide10
Conduct Environmental Assessment
Is the call light within reach?
Is the telephone within reach?
Are the light switch and TV control accessible?
Is the trash can next to the bed?
Is the bedside table within reach?
Does the patient look comfortable and is the patient covered to protect personal privacy?
Is the room clear
of clutter?Slide11
Use Closing Key Words and/or Actions
“Is there anything else I can do for you?”Slide12
Explain When You or Others will Return
When you tell patients when you will return, they will begin to cluster their requests in the context of the round.Slide13
Document the Round on the Log
Accountability MeasureSlide14