purposeful+rounding+ppt+final
TRANSCRIPT
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PURPOSEFUL ROUNDINGComing around to better way of caring
Naomi Foote RN BSN
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OBJECTIVES
Discuss why rounding is important to our patients
Analyze differences between task rounding &purposeful rounding
Discuss benefits of purposeful rounding for patientsand staff
List the 6 Ps during rounding
Discuss purposeful documentation
Identify staff roles in rounding Practice patient scenarios using purposeful rounding
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ROUNDING..
Positively influences patient care
Positively influence patients perception of their care
Wait, havent we tried rounding already?
I remembercoming roundthis way before!
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WEALREADYDO ROUND! WHATISDIFFERENTTHISTIME?
Round hourly
Ask How are you
doing? Is everythingOK?
Check off sheet hourly
Rounding scheduledetermined by patientneed
Ask ALL of the 6Ps Use the words Hourly
Rounding Document purposefully in
EMR & on patientwhiteboards
Consequences of notrounding = 1:1 mentoring
Task driven rounding Purposeful rounding
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WHATCAN PURPOSEFUL ROUNDINGDOFORPATIENTS?
Hourly rounding benefits:
Need to call for painmedication = pain
control
Decreased Falls
Skin breakdown
35%
50%
14%
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WHATCAN PURPOSEFUL ROUNDINGDOFORBTMC?
Hourly rounding benefits:
Increased patientsatisfaction scores
Decreased patientcomplaints
326 hours/week nursingtime saved
Cost reduction $143,546 infacilities that Round
12%
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SOIFTHISONEACTIONCOULDDOALLTHAT?
Would you do it?
I ______, do hereby commit topurposefully round on all mypatients, be a purposeful
rounding role model, and willhold my coworkers accountable
for rounding.
Signed ____YOU!_________
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PURPOSEFULROUNDING:WHATITIS
Pain
Potty
Position
Proximity
Pump
Personalneeds
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PAIN
What is your pain level now?
What pain level is acceptable?
Please let me know if thesemedications/therapies are notkeeping your pain controlled atan acceptable level.
Provide pain meds/
complemetary therapy
Record pain level/acceptable
level on whiteboard
Your next pain med is due at
6PM
Record time of next pain med
on whiteboard
You look concerned/upset, issomething wrong
I will (call) let your nurse
know that you are in pain.
Purposeful questions &
responses for nursesBTMC Team Members
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POTTY
Do you need to use the
BR/urinal/commode now
I will call for another person to
assist us.
(if 2 person assist needed)
You look concerned/upset, is
something wrong
I will let your nurse knowthat you need to use the
BR/urinal/commode
Please do not try to get out
of bed by yourself
Do you need to use the restroom
before we get started?
Do you need to use the restroom
before we get you back to your(bed/wheelchair)?
Purposeful questions &
responses for nursesBTMC Team Members
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POSITION
You dont look comfortable, can I
help you reposition?
Do you know how to use the bed
controls?
Are you comfortable?
Tell patient you will get
repositioning help if they
answer NO.
Are you warm enough? Can I get
you some warm blankets?
Can I get you some pillows under
your knees to take pressure offyour back?
Purposeful questions &
responses for nursesBTMC Team Members
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PROXIMITY
Observe the room, ask
yourself,
Can the patient reach everythingthey need?
Can the patient open their food
containers?
Is the urinal on the bedside table
next to the food tray?
Observe the room, ask yourself,
Can the patient reach everything they
need?
Can the patient open their food
containers?
Is the urinal on the bedside table next
to the food tray?
With gloves, move urinal into BR,
do not empty
Purposeful questions &
responses for nursesBTMC Team Members
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PROXIMITYCANALSOABEBAD THING
Would you eat at this restaurant?
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WOULDYOUEATHERE?
Original cartoon by Ctexter.com
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PUMP
Observe the room, ask
yourself,
Are alarms beeping now? Will they beep soon?
Will they beep duringreport?
Is the IV bag about to run out?
Is there equipment in the
patients way?
Are there old IV bags, unused
equipment lying around
Observe the room, ask
yourself,
Are alarms beeping now?I will let your nurse know
about that alarm.
Is there equipment in the
patients way?Let nurse know about
equipment in the way.
Purposeful questions &
responses for nursesBTMC Team Members
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PERSONALNEEDS
Ask EVERY time!
I have time, is there anything
else I can get you?
Ask EVERY time!
I have time, is there anything
else I can get you?
Purposeful questions &
responses for nursesBTMC Team Members
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HOWTOSAYTHEMESSAGE
Body language is key!
On Stage all the time
It is up to YOU to remind peers about Purposeful
Rounding!
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WHATDIDWELEARNABOUT PURPOSEFULROUNDING?
Why is rounding important to our patients?
What is the difference between the old task
rounding , and the new Purposeful rounding?
Can anyone name 2 benefits for patients, 2 benefitsfor staff?
Who can name the 6 Ps?
Explain the different roles in rounding (nurses role
and other BTMC team members roles)
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REFERENCES
Ford, B. (2010). Hourly rounding: a strategy toimprove patient satisfaction scores. MEDSURGNursing, 19(3), 188-191.
Leighty, J. (2006) Hourly rounding dims call lights.Nursing Spectrum. Dec. 2006
Meade, C., Bursell, A., Ketelsen, L., (2006). Effectsof nursing rounds: on patients call light use,
satisfaction, and safety.AJN, 106(9), 59-70.
Shea, K. (2010). The rap on rapport. CE Direct.Retrieved May 01, 2010.
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