Nursing Hourly Rounding

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Nursing Hourly Rounding

Author : Elsa Jacobs
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Nursing Hourly Rounding by : Elsa Jacobs

Download or read book Nursing Hourly Rounding written by Elsa Jacobs and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an effort to meet patient needs, improve patient satisfaction scores, decrease call light usage, prevent nursing burn out, and maintain patients safe, many hospitals across the country have started implementing hourly nurse rounds. Rounding with the purpose of checking on patients every our around the clock. Studies have proven that by doing hourly rounds patient falls decrease, because their needs are being addressed and met in a timely manner. Research also has shown that rounding will allow for the nursing staff to set expectations and goals the patients' and family members as well as planning for their care. When nurses check on patients, their focus is to address the 4 Ps, positioning, potty (elimination needs), pain, and possessions (proximity of personal belongings). (Halm, 2009) At the time of admission, patients and their family members will be informed of the hourly rounding process in order to set realistic expectations of the plan of care. Research performed in 14 hospitals has found that by setting these goals, the use of call lights have decreased by 37%, patient falls decreased by 52%, and patient satisfaction scores increased by 12%. (Stanford Medicine, 2015).

Nurse Hourly Rounding Can Increase Patient Safety

Author : Norma Martinez
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Nurse Hourly Rounding Can Increase Patient Safety by : Norma Martinez

Download or read book Nurse Hourly Rounding Can Increase Patient Safety written by Norma Martinez and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The implementation of nurse hourly rounding can have a significant impact on decreasing the incidence of patient's falls and it heightens for their safety. It is not uncommon for hospitals to report incidence of accidental falls in which these types of incidents is costly to hospitals revenue but more importantly their patients suffer the undue strain on their physical and mental health. The main goal for all institutions is to incorporate for measures and or intervention to help decrease this incidence of falls and increase for their safety. Hospital's administrators, broad members and all stakeholders must pull together to find a solution to help increase the safety for all of their patients. Research studies have indicated the main reason patients fall where due trying to meet their needs. Evidence base research studies highly recommended the usage of nurse hourly rounding. This practice has shown a significant decrease in patients falls in which enhances for their safety at all times. The process calls for all healthcare providers to work together as a team to reach the goal for patient safety around the clock. The practice of nurse hourly rounding helps nurses to assess their patients plus it methodically addressees on meeting the patient's individual needs. This system empowers for patients and nurses to build on a trusting relationship in which it increase patients satisfaction for they can rely on their assign nurse to deliver good quality care for they are reassured that they will return hourly to assist them with their needs. In order for this proven intervention to be successful it is vital for hospital's to educate the healthcare team on the practice of nurse hourly rounding and its main objective is increasing the safety of all patients. This implementation can be conducted in a time frame from three to six months and nurse managers along with charge nurse can evaluate their staff on the usage of this measure in order to stay in compliance for its outcome to be effective in delivering safe quality care. Nurse hourly rounding is a proven evidence base practice that can deliver for patient's safety during their hospital stay.

Impact of Hourly Rounding

Author : Kelli DiPietro
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Impact of Hourly Rounding by : Kelli DiPietro

Download or read book Impact of Hourly Rounding written by Kelli DiPietro and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals face increasingly high pressure to maintain quality care as evidenced by patient satisfaction as well as patient safety scores. The rigorous gravity of satisfaction and safety are factors that affect the return of satisfied patients and payment by the Centers for Medicare and Medicaid (CMS) (Hagland, 2011). Because nurses are seen as key providers and are the ones that are typically perceived as providers of timely pain management, ones who develop healthy, trusting relationships and communicators of much of the information that is provided in a hospital setting, many satisfaction scores are based on the quality of nurse care delivered. Due to the importance of nursing and their overall impact on patient's as well as hospital's bottom line, it imperative that the nurse excel at meeting and exceeding patient expectations. When nursing staff is overwhelmed and understaffed, the patient suffers. The suffering can cause longer stays and increased financial burden on the patient as well as the hospital. One way to improve outcomes is to design and implement an hourly or intentional rounding program to ensure that the patient's needs are being met and that patients feel well taken care of. There are different situations in a variety of facilities that can benefit from hourly rounding. The need to develop an program that is tailored to the necessities of a specific floor or unit is crucial in the success of the program. Based on research, hourly rounding can make a positive impact on patient and nurse satisfaction.

Significance of Nurses' Hourly Rounding

Author : Victoria Ogbuji
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Nurses' Hourly Rounding by : Victoria Ogbuji

Download or read book Significance of Nurses' Hourly Rounding written by Victoria Ogbuji and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding is an evidence-based practice on which there have been wide debates regarding its significance on quality patient outcome and safety. Based on documented studies, structured nurses hourly rounding, enhances proactive nursing, builds nurse-patient rapport, and promotes a healing environment through decreased call bell usage. Several other research outcomes, revealed that hourly rounding fosters uninterrupted nursing workflow, decrease inpatient fall and pressure ulcer rates, and increase patient satisfaction scores. This article describes steps needed to introduce hourly rounding as an evidence-based project supporting professional commitment, and promoting patients' safety and satisfaction. Having identified increased patient fall, pressure ulcer, and dissatisfaction rates as a problem within an orthopedic inpatient population, proper and standardized educative tools were used to achieve the support and approval of this project from the organization's stakeholders.

Hourly Rounding

Author : Kelsey Lynne Johnson
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Kelsey Lynne Johnson

Download or read book Hourly Rounding written by Kelsey Lynne Johnson and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly Rounding, also known as intentional rounding, is a fairly new concept in many medical facilities. Hourly rounding consists of asking patients important questions each hour to help keep patients more comfortable while also maintaining safety during the hospital stay. In order to assist hourly rounding in becoming an even bigger part of the health care routine, data needs to be collected from studies to see how well it really works. By doing a study and tracking the results over a six-month time frame, it will not only help hourly rounding become implemented on that particular floor, but it could also lead to the implementation of hourly rounding in many other places. Evidence based practice runs the health care profession. Once a theory is proven to work or proven to be the safer method, it will be implemented in a larger setting. Hourly rounding is hypothesized to decrease patient falls, patient call lights, and increase patient safety and satisfaction. Before the study begins, the staff and supervisors will be educated on the topic as well as what is expected from hourly rounding. There will be a staff meeting with pamphlets, power point presentations, and additional time to ask any questions that may arise. Once the information from the study has been collected and interpreted, we should see that patient satisfaction rises because patients feel a bigger sense of responsibility in their own care. Some patients have commented that hourly rounding made them feel more important. Patients need to feel like the center of their care and feel like their opinions truly matter. Hourly rounding is going to help hospitals achieve that goal.

Improving Patient Care and Safety Through Hourly Rounding

Author : Josily Koithara
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Improving Patient Care and Safety Through Hourly Rounding by : Josily Koithara

Download or read book Improving Patient Care and Safety Through Hourly Rounding written by Josily Koithara and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient care, safety and satisfaction are top priority for the health care team when providing in-patient care. Patients must be monitored and cared well to improve their health conditions and to avoid further complications during hospital stay. Risk of hospitalized patients fall is the most concern for nurses. Hospital acquired new incidents like patient fall and pressure ulcers has a negative impact on patient recovery, causes lengthy hospital stay, financial burden for hospitals and increases nursing burnouts. Patients with stroke are at high risk for fall. In earlier studies it is found that 14% of the stroke patients fell at least once during their hospital admission (Tutuarima, Meulen, and Limburg, 2012). Frequent monitoring of the patients by nurses can prevent never events. But nurses attempt to be proactive on avoiding these issues are impaired by factors like high patient ratios, lack of time , frequent call lights and stress from meeting the patients demands. Planned hourly rounding is a proactive approach to patient care. Hourly rounding reduces patient fall, skin break downs, call light use, noise level and also improve patient satisfaction. Studies on hourly rounding to increase the patient safety and patient satisfaction showed a 52% decline in call light use after implementing hourly rounding and unit was quiet and nurses could spend more time for patient care and logs (Ford, 2010). Intentional rounding researches showed significant reduction in fall rate with one hour rounding. With the implementation of hourly rounding on the stroke and cardiac inpatient unit of the Texas Health Resources Hospital, the purpose is to prevent unwanted events and to improve patient satisfaction and safety.

Hourly Rounding

Author : Sarah Nakawaki
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Sarah Nakawaki

Download or read book Hourly Rounding written by Sarah Nakawaki and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of hourly rounding in nursing care has been supported by research and evidence-based practice to improve patient outcomes. Research has indicated that by regularly rounding on patients in a purposeful manner, such as addressing pain, toileting, positioning needs and placing important and personal items within reach of the patient decreases the incidences of patient falls and increases patient satisfaction (Meade, Bursell, and Ketelsen, 2006). An hourly rounding protocol already is in place at Hoag Hospital, but patient falls and hospital-acquired pressure ulcers still continue to happen. Hoag Hospital can greatly benefit by re-educating nursing staff and nursing assistants on proper hourly rounding protocol, including rationale for hourly rounding and important factors to address with patients. A chime will also be introduced to ring when hourly rounding is performed, every one hour for day shift and every two hours for night shift, to gently remind staff to round on their patients. The staff can also benefit by reinforcing the importance of hourly rounding through the yearly house side mandatory review session accessed through the hospital's intranet website. This proposal will include an implementation plan that shows the positive benefits implementing hourly rounding re-education given to nurses and nursing assistants has improved patient outcomes, specifically improved patient safety as seen by a decrease in falls, and improved patient satisfaction. In addition, evaluation of the findings as well as disseminating them to all unit department directors and the nursing community will be discussed.

Effectiveness Hourly Rounding Has on Patient Safety and Satisfaction

Author : Eric Atkinson
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Effectiveness Hourly Rounding Has on Patient Safety and Satisfaction by : Eric Atkinson

Download or read book Effectiveness Hourly Rounding Has on Patient Safety and Satisfaction written by Eric Atkinson and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The healthcare landscape in the United States today is undergoing a transformation. Driven largely by the Affordable Care Act (ACA) mandatory healthcare insurance for everyone including those individuals with preexisting conditions, and by the change in how the Centers for Medicaid and Medicare Services (CMS) reimburse hospitals, to a patient ssatisfaction dependant model. For most hospitals the new objective is to not only reduce adverse hospital related events while improving the patient outcome but to now also to include increasing patient satisfaction. Nurses and the care they provide directly impact the patients satisfaction. Nursing rounds particularly hourly nursing rounds have been shown to reduce anxiety and increases satisfaction for patients during their hospitalization. When patients feel safe and satisfied with their care, they are more likely to return/answer surveys with satisfactory marks, and also recommend the facility to friends and loved ones.

The Effect of Hourly Rounding on Reducing Call Light Usage Pressure Sores and Falls in Hospitalized Patients

Author : Barbara Sheriff
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis The Effect of Hourly Rounding on Reducing Call Light Usage Pressure Sores and Falls in Hospitalized Patients by : Barbara Sheriff

Download or read book The Effect of Hourly Rounding on Reducing Call Light Usage Pressure Sores and Falls in Hospitalized Patients written by Barbara Sheriff and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding has been trialed and implemented in hospitals across the country. Rounding hourly on patients benefits the patients, the patient's family and hospital staff. For patients hourly rounding gives them a feeling of security because they know their nurse will see them every hour. Patient's families feel reassured that it is safe to leave their loved one at the hospital because the nurse will see them every hour. For nurses hourly rounding affords them an opportunity to spend quality time with their patients which helps develop a sense of trust between the patient and the nurse. Hourly rounding has been shown to decrease call light usage, falls and pressure sores as well as increase patient satisfaction. 'Margo A. Halm, RN, PhD, CNS-BC, director of nursing research and quality at Salem Hospital in Oregon, reviewed 11 hourly rounding studies and reported in a 2009 American Journal of Critical Care article that 83 percent of studies examined showed a reduction in call lights, 77 percent a decrease in fall rates and 88 percent an improvement in patient satisfaction' (Wood, 2014, para. 8). 'Swanson's Nursing Care Theory supports the purposed use of hourly rounding as it centers on practices that promote patient satisfaction and safety by focusing on the connection between caring processes and patient well-being and outcomes' (Tongues, Ray, 2011, pages374). Hourly rounding was introduced previously at this facility but the implementation was poorly received by nurses. In an effort to reintroduce hourly rounding, a team will be formed to champion the process, a presentation to the stakeholders will be done outlining the plan as well as the costs involved, and ongoing education will be provided for nursing as well as tools to aid the nurse in incorporating hourly rounding into their daily routines. Weekly meetings with a specific agenda will be held encouraging staff feedback on how the hourly rounding trial is proceeding. At the end of the trial period an assessment will be given to each nurse seeking their ideas and any new problems that need to be addressed. The team will evaluate data from the meetings, patient's comments and any occurrence reports concerning falls and pressure sores and call light usage information obtained from the facilities call light system. This information will be shared with the stake holders as well as nursing staff. As the nursing shortage increases, hospitals as well as nursing leaders are searching for ways to provide quality care, enhance patient safety and satisfaction and to increase nurse's satisfaction. 'Hourly patient rounding proposes to be one answer to both patient and nurse satisfaction' (Wood, 2014, para.6).

Hourly Rounds Improve Patient Satisfaction and Safety

Author : Jennifer Calingay
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounds Improve Patient Satisfaction and Safety by : Jennifer Calingay

Download or read book Hourly Rounds Improve Patient Satisfaction and Safety written by Jennifer Calingay and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient satisfaction and Patient safety are two very important issues in health care. Patient satisfaction is important because of how the patient feels may play a part in their healing process. Also, patient satisfaction scores affect the reimbursement from Medicare. Hospitals are not just a place for sick people go to get better. It is also a business so patient satisfaction scores are important for hospitals. Patient safety is an issue at hospitals at all hospitals across the nation. Patient falls are the largest adverse events in a hospital. There have been various methods to prevent falls from happening. Bed alarms and sitters are common methods used to prevent falls. One way to increase safety in hospitals is to implement hourly rounds. Hourly rounds allow the nurse to address patient needs before something can happen such as a fall. Hourly rounds also give the patient and nurse to discuss any concerns they may have about the plan of care. The process of hourly rounds would require educating the nursing staff about the process. Education materials such as pamphlets and in services would be needed to inform everyone of the new process. Step by step instructions on how to do hourly rounds will be presented. To evaluate the effectiveness of the hourly rounding process patients will fill out questionnaires about the hourly rounds. That information can be used to determine if hourly rounds increase patient satisfaction and safety. Nurses will also be interviewed about the hourly rounding process. The process will be reviewed and determined the method is effective I increasing patient satisfaction and safety.

Significance of Hourly Rounding on Patient Safety and Satisfaction

Author : Dana M. DeHart
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Hourly Rounding on Patient Safety and Satisfaction by : Dana M. DeHart

Download or read book Significance of Hourly Rounding on Patient Safety and Satisfaction written by Dana M. DeHart and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety and satisfaction has been at the for-front of health care criticism for some time. The problem of patient safety is important to all health care workers and is often the reason why people study nursing in the first place, to keep the patients safe. The problem exists because patients continue to fall and often times are seriously injured. There are also concerns of patients not being turned and ending up with pressure sores. These problems result in poor patient satisfaction. Studies have shown that hospitals and rehabilitation facilities that have taken part in trials of hourly rounding by nurses and nursing personnel, have shown a decrease in the number of patient falls and an increase in patient satisfaction numbers. Implementing a plan for hourly rounding is necessary to improve patient safety, involving nurses checking on patients and observing patient's rooms and surroundings. After the plan is implemented, an evaluation of the process is required to determine if the process or plan has been effective. Evaluation is often skipped over in EBP research, however it is necessary to determine the effectiveness of the plan and to let others know the results of the trial. Shortly after the plan is evaluated, it should be disseminated to other nurses, stakeholders and the public in order for the information to be useful. Dissemination is also important because it allows nurses to see results of studies in a quick, efficient way without having to spend hours looking up the research themselves.

Hourly Rounding

Author : Tamara McFadden
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Tamara McFadden

Download or read book Hourly Rounding written by Tamara McFadden and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding on inpatients in the hospital setting is an evidence-based practice that increases patient satisfaction and increases patient safety. Evidence from both quantitative and qualitative research studies support this nurse-driven, patient-centered practice. For institutions that have successfully implemented hourly rounding, data from both Press Ganey and the National Data Base of Nursing Quality Indicators (NDNQI) is reflective of an increase in overall patient satisfaction, decrease in fall rates and a decrease in hospital acquired pressure ulcers (HAPUs). Hospitals face challenges in all of these areas and are always looking for ways to improve their scores and improve patient outcomes. In institutions that have implemented hourly rounding and have not seen an improvement in their scores or patient outcomes, it may be time to go back and make sure hourly rounding was properly implemented and is being supported by nursing leadership and management. Ownership and by in of this evidence-based practice by the nursing staff is the key driver to the success of this practice change.

The Effect of Nurse Hourly Rounding on Falls and Patient Satisfaction

Author :
Publisher :
ISBN 13 :
Total Pages : 29 pages
Book Rating : 4.:/5 (914 download)

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Book Synopsis The Effect of Nurse Hourly Rounding on Falls and Patient Satisfaction by :

Download or read book The Effect of Nurse Hourly Rounding on Falls and Patient Satisfaction written by and published by . This book was released on 2014 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Aim: This study aims to determine the effect of Hourly Rounding by nursing staff on patient satisfaction scores and patient safety... Conclusion: There was a strong correlation seen between Patient Falls and Hourly Rounding." p.2-3.

Hourly Rounding Supplement

Author : Studer Group (Firm)
Publisher :
ISBN 13 :
Total Pages : 25 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Hourly Rounding Supplement by : Studer Group (Firm)

Download or read book Hourly Rounding Supplement written by Studer Group (Firm) and published by . This book was released on 2007 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Continued Education

Author : Susan Changala
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Continued Education by : Susan Changala

Download or read book Continued Education written by Susan Changala and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use of hourly rounding has been implemented in most hospitals for many years, however, evidence has shown that it continues to not only be met with resistance but there is a need for Continued education due to a large number of the senior nurses retiring and new nurses with an Associate's Degree of Nursing who have not had education in the area of evidence-based practice. Initial studies showed that hourly rounding not only improved patient satisfaction rates and decreased patient falls but also increased the amount of reimbursement for the hospital. In the last year Yakima Valley Memorial Hospital has experienced an increase in patient falls. Although new nurses are oriented to the policy and procedure of hourly rounding, there is no education on the reasoning of why this practice has been implemented or how it is beneficial not only to the nurse but also to the facility. Implementing Continued education into the bi-annual skills fair would help to not only provide meaning of evidence-based practice but will also help nursing staff to have a clear understanding of why it is part of their daily routine. This proposal will include an implementation plan and give a clear picture of the resources and tools needed to make this plan a success. Once this plan has been implemented for the time of one year there will be a re-evaluation on the comfort levels of the staff with hourly rounding and data will be collected on the number of documented falls that have or have not occurred during this time. The goal of this presentation is to improve patient safety and improve overall staff satisfaction.

Hourly Nurse Rounding for Those in Need

Author : Naomi Bowman
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Nurse Rounding for Those in Need by : Naomi Bowman

Download or read book Hourly Nurse Rounding for Those in Need written by Naomi Bowman and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many studies have been conducted and shown that the percentage of patients in long term care facilities will develop bed ulcers at an alarming rate of 2.8 million patients each year. Nearly all elderly, bed-bound, incontinent patients who suffer from dementia are unable at times to express their needs have developed a pressure ulcer from the lack of being turned in a timely manner, by lying in soiled clothing and linens. These individuals also suffer from poor nutrition, which also is a contributor to the production of bed ulcers. Prevention is important as it protects the patient, but also decreases healthcare costs. Frequent repositioning has been established through evidence-based practice to reduce and prevent the development of pressure ulcers, but little evidence shows its effectiveness. Hourly nurse rounding system is a goal that is being implemented to measure the effects and benefits of pressure ulcer prevention and the bundling of patient care. Nurse hourly rounding system will include hourly rounding logs or forms placed in each patient's room that require a signature from then nurse, the time entered and spent in the room as well as the care provided. Locator badges will be worn by both aide and nurse and will be used to monitor and accurately track movement in and out of patients' rooms with the time of each occurrence as this is shown to deliver consistent and valuable information for better patient care outcomes. Reports will be generated to measure patient satisfaction and patient care. Another benefit will be the reduction of noise from the call light system. These measures will be taken so that data and documentation can be used to monitor the positive impact on risk management and patient/staff satisfaction.

Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding

Author : Rachel Abril
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding by : Rachel Abril

Download or read book Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding written by Rachel Abril and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, it is estimated that 700,000 to 2,000,000 individuals have a fall in the acute hospital setting with one in three individuals aged 65 years and older. Yearly, 20-30 percent of hospitalized patients suffer an injury that could have been prevented (Ganz, Saliba, Huang and Shier, 2013). Based on documented studies, implementing purposeful rounding or intentional rounding decreases call lights, alarms, falls, increases patient and employee satisfaction, supports a more productive shift for nursing staff, and most importantly increases patient safety (Olrich, Kalman, and Nigolian, 2012). Several documented studies have reported a decrease in fall rates post implementation of intentional rounding, one hospital reported a decrease in falls by 23 percent post implementation (Olrich, Kalman, and Nigolian, 2012). Falls in the acute hospital setting are a serious complex problem, addressing and implementing purposeful or intentional hourly rounding while better serving patients will decrease the fall rate in the acute hospital setting. Based on several journal readings successful implementation of intentional rounding or purposeful rounding that included the nursing staff in the implementation process yielded the most rewarding results. Identifying the problem or issue, developing an implementation plan and evaluation plan, along with finding the best avenues to disseminate the evidence are key to successful implementation of any project.