1. Hourly Rounding for Improved Patient Care

2. How would you like to have
Fewer call light interruptions in your day
More free time for your other tasks
More control over your daily schedule
Happier, more satisfied patients
A quieter unit throughout the day
Significant reduction in patient falls
Try Hourly Rounding!

3. How Does Hourly Rounding Work?
A member of staff visits each patient
Hourly from 6 a.m. till 10 p.m.
Every two hours between 10 p.m. and 6 a.m.
Nurses and nursing assistants alternate visits
Patients’ basic needs are met all at once, not via multiple call lights

4. Discussion
What were your first impressions of the article, “Putting Hourly Rounds into Practice”?
Did anything about this article surprise you?
Was there anything the author described that you would do differently?
What ideas would you suggest to make hourly rounding more successful in your unit?

5. What Happens During a Round?
4 R’s
3 P’s
Pain - Evaluate pain level.
Position - Help the patient get comfortable.
Personal needs - Offer help using the toilet.
Rx - Provide any needed medication (RN visits only).
Reach – Are all the patient’s needs (call light, phone, reading material, etc.) within easy reach?
Respond to questions. Ask if there anything else the patient needs.
Reassure - Express care and concern. Let the patient know at what time the next rounding visit will occur.

6. What Happens After A Round?
If the patient is asleep, leave a “visit card” on the table.
On the Record of Hourly Rounds that is posted in the patient’s room, record your name and the time of your visit.
On the Hourly Rounding Log, which is kept by the staff, record the promised return time as well as the goals for the next visit.

7. Why is Hourly Rounding Effective?
Lets your patients know they are not alone
Builds your patients’ trust in you
Lets your patients know what to expect
Greatly reduces call light use, improving your efficiency
Reduces the distance you have to travel back and forth to your patients’ rooms

8. What Evidence Shows that Hourly Rounding Works?
Research on hourly rounding in 14 hospitals* showed:
9-point sustained increase in patient satisfaction overall score
52% reduction in patient falls
37% reduction in call light use
14% decline in skin breakdowns
In addition, one hospital measured a 20% reduction in the distance walked each day by the nursing staff

9. Implementation Kit for Rounding
Record of Hourly Rounds
Hourly Rounding I & O sheet
Hourly Rounding Log
Visit card
Statement of commitment

10. Rounding Initial Sheet
This sheet is posted daily beside each patient’s bed.

11. Hourly Rounding I & O Sheet
This sheet is used to record the patients intakes and outtakes hourly

12. Hourly Rounding Log
The rounding log is kept at the nursing station or on the nurse’s clipboard. It improves communication between staff members.

13. Visit Card
The nursing staff member leaves a visit card on the table if the patient is sleeping

14. Statement of Commitment
After they have been trained, all staff members will make a written commitment to the success of hourly rounding.