Purposeful+Rounding+Ppt+Final

7/28/2019 Purposeful+Rounding+Ppt+Final

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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)?




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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?




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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




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PROXIMITYCANALSOABEBAD THING

Would you eat at this restaurant?


15/21

WOULDYOUEATHERE?

Original cartoon by Ctexter.com


16/21

PUMP


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


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.




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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?




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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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