university of utah surgical unit improves response to call lights
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WHAT IF adding….
ONE more nursing intervention
to the services you are already providing would:
• Improve Pain Management Outcomes
• Increase Patient Satisfaction
• Improve Quality Outcomes
• Improve Patient Safety
• Reduce interruptions during your shift
• Reduce Noise Levels on the unit
• Decrease Call Lights
• Increase Job Satisfaction
Can you think of
ONE good reason WHYYou would NOT provide it?
DEFINITION:PURPOSEFUL ROUNDING is a proactive, systematic, nurse-driven, evidence-based intervention that helps us anticipate and address patient needs. When applied to nursing, rounding often is described as “hourly” or “purposeful.”
THE VALUE OF PURPOSEFUL ROUNDING - AMERICAN NURSE TODAY
HTTP://WWW.AMERICANNURSETODAY.COM/VALUE-PURPOSEFUL-ROUNDING/
THE RESEARCH SHOWS:52% reduction in patient falls
37% reduction in patient use of Call bells/lights
14% decline in Skin breakdown/pressure ulcers
12% increase in patient satisfaction ratingsAND evidence of:
Increased job satisfaction and productivity
Decreased inpatient unit noise levelshttp://www.americansentinel.edu/blog/2015/06/02/hourly-rounding-is-an-effective-patient-safety-strategy
REASONS FOR CALL LIGHT USECan you guess the Top 6 reasons patients used the call light?
Would it surprise you to know – studies showed nursing staff could predict why patients used their call lights?
REASONS FOR CALL LIGHT USE#1 TOILETING#2 PAIN MANAGEMENT#3 IV PROBLEMS OR PUMP ALARMS#4 PERSONAL ASSISTANCE#5 ACCIDENTAL CALL#6 REPOSITIONING OR TRANSFER
If it’s predictable…AND
It’s driving us crazy….
WHY don’t we do something to stop it?
Let’s LIST your ideas forPurposeful Rounding
to decrease call lights….
StrategiesthathavebeenproventoworkWHENAPPLIEDCONSISTENTLY
• Assessed the patient's pain level (if the patient is experiencing pain, the RN is contacted immediately)
• Put pain medication doses on the RN's list of scheduled items and offered when the dose was due
• Offered toileting assistance
• Assessed the patient's position and position comfort and asked if the patient was comfortable or needed to be repositioned
• Made sure the call light was within the patient's reach
• Put the telephone within the patient's reach
• Replaced IV fluids (etc) pre-emptively
StrategiesthathavebeenproventoworkWHENAPPLIEDCONSISTENTLY
• Put the TV remote control and bed light switch within the patient's reach;
• Put the bedside table next to the bed;
• Put the tissue box and drinking water within the patient's reach;
• Put the trash can next to the bed;
• Prior to leaving the room, asked, "Is there anything I can do for you before I leave? I have time while I am here in the room";
• Tell the patient that a member of the nursing staff will be back in the room in an hour to round again
REFERENCES:
Stokowski, L. A. (2008). Ring for the Nurse! Improving Call Light Management. Retrieved May 4, 2016, from http://www.medscape.org/viewarticle/570242
Tzeng, H. (2010, December). Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: An exploratory survey study in four USA hospitals. Retrieved May 4, 2016, from http://link.springer.com/article/10.1186/1472-6963-10-52#/page-1
Timothy, H. (2015, June 2). Hourly Rounding is an Effective patient Safety Strategy. Retrieved May 4, 2016, from http://www.americansentinel.edu/blog/2015/06/02/hourly-rounding-is-an-effective-patient-safety-strategy/