By: Jessica SpencerSt. Cloud State University

Student Nurse

Hourly Rounding

Quality Improvement Project

Evidence Based ResearchImprove patient satisfaction

oHigher Picker scores

Decrease us of call lightDecrease in falls

Who Can Do Hourly Rounding

NursesCharge NursesEMTsDoctorsPCAsRTANYONE WHO IS INVOLVED WITH THE

PATIENT CARES

What To Do For Hourly Rounding

THE 5 P’s:-Pain -Potty-Possessions-Pathway-Pumps

“Is there anything I can do for you before I leave? I have time to do it.”

“Someone will be back in an hour to see how you are doing.”

When To Do Hourly Rounding

Every hour when the patient is awake

Don’t wake the patient if sleeping

Every two hours at night

Where To Do Hourly Rounding Any where the patient will be roomed for

over an hour while at the Children’s Hospital

All FloorsAll UnitsAll Areas

WHY Do Hourly RoundingPatient satisfactionPressure ulcersLess fallsLess use of call lightsNursing satisfaction

“Rounding has helped me with prioritization.” –Staff RN

“I feel as though team work immediately improved.” –Staff RN

“Hourly rounding allows me to be proactive versus reactive, Instead of the daily work controlling me, rounding lets me control the work.” –Staff RN

“I love it there, someone is always checking on me.” –Patient

“We actually felt as if our brother was the only patient on the floor. Everyone kept checking on him constantly.” –Patient family.

How To Do Hourly RoundingTrain staffCharts (rounding log)White boardsInclude rounding as a regular staff meeting

agenda Reward and recognize staff for their efforts

“I have had dozens of ED leaders tell me that they never thought they would get their staff to make hourly rounds. Yet, once staff saw the benefits, they got on board quickly and would never consider going back.”

“Once a nurse goes into a patient’s treatment room during hourly rounds and finds a patient not breathing or climbing over a bed rail, he or she will be a believer for life. Hourly rounds keep patients safe.”

-Stephanie Baker, RN, CEN, MBA

ReferencesBaker, S. J. (2012). Hourly rounding in the emergency department: How to accelerate results.

JEN: Journal Of Emergency Nursing, 38(1), 69-72.

Callahan, L. et all. (2009). Medication review and hourly nursing rounds: An evidence-based approach reduces falls on oncology inpatient units. Oncology Nursing Forum, 36(3) 72.

Ford, B. (2010). Hourly rounding: A strategy to improve patient satisfaction scores. MEDSURG Nursing, 19(3), 188-191.

Gardner, G (et all), (2009). Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A plot study. International Journal of Nursing Practice, 15: 287-293.

Halm, M. (2009). Hourly Rounds: What does the evidence indicate? American Journal of Critical Care,18(6), 581-584

Kessler, B., Claude-Gutekunst, M., Donchez, A. M., Dries, R. F., & Snyder, M. M. (2012). The merry-go-round of patient rounding: assure your patients get the brass ring. MEDSURG Nursing, 21(4), 240-245.

Meade, C.M., Kennedy, J., Kaplan. J. (2010). The effects of emergency department staff rounding on patient safety and satisfaction. Journal of Emergency Medicine, 38(5), 666-74.

Melnyk, B. (2007). The latest evidence on hourly rounding and rapid response teams in decreasing adverse events in hospitals. Worldviews On Evidence-Based Nursing, 4(4), 220-223.

Olrich, T., Kalman, M., & Nigolian, C. (2012). Hourly rounding: A replication study. MEDSURG Nursing, 21(1), 23-36.

Sobaski, T., Abraham, M., Fillmore, R., McFall, D.E., & Davidhizar, R. (2008). The effect of routine rounding by nursing staff on patient satisfaction on a cardiac telemetry unit. The Health Care Manager, 27(4), 332-7.