11 In 2006, Christine Meade studied the effects of hourly rounding on call light use, falls, and patient satisfaction.Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds on patientscall light use, satisfaction, and safety. American Journal of Nursing,106, 58-70.About 5,000 fewer calls after rounding
12 OK – What else did she find? The number of falls (in 27 nursing units) was cut in half.Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds on patientscall light use, satisfaction, and safety. American Journal of Nursing,106, 58-70.
13 Is that it?After one year, the percentage of patients who rated their care as ‘excellent’ was doubled.!Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds on patientscall light use, satisfaction, and safety. American Journal of Nursing,106, 58-70.
14 Anyone else looking at this? .Jennifer Woodard confirmed these good results on a 40 bed unit when the charge nurse rounded every hour. Results confirmed decreased call light use, decreased number of falls, and increased patient satisfaction.And here’s a bonus: After rounding, almost all patients were “certain”, or “somewhat certain”, that help would be there when they needed it.Before rounding was started, more than half “were not sure if a caregiver would come to help if needed”.Woodard, Jennifer (2009). Effects of Rounding on Patient Satisfaction and PatientSafety on a Medical-Surgical Unit. Clinical Nurse Specialist, vol 23 Number 4.
15 Do half of your patients think that you won’t be there when they need you?
16 Show them which button to push, they probably don’t know. Deritrick, Bokovoy (2006). Dance of the Call Bells. J Nurs Care QualVol. 21, No. 4, pp. 316–324.
17 Show them your phone. Explain that the button calls us directly Show them your phone. Explain that the button calls us directly. Would intercom work for this patient?When you want your CNAWhen you want your nurseWhen you need help now.
18 I can’t answer it now!Patient satisfaction is not related to response time. 5 seconds and 5 minutes are the same.Patient satisfaction is dependent on how you respond to their request.Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: The National Academies; 2001:337. Roszell, Jone (2009). J Call Bell Requests, Call Bell Response Time, and Patient Satisfaction. Nurs Care Qual .Vol. 24, No. 1, pp. 69–75
19 Answer a light for your neighbor Make the pump stop beeping Help out your teamAnswer a light for your neighborTell the patient that you’ll get the nurse.Make the pump stop beepingPatients hate that beeping pump.Nurses can answer routine lightsCNAs can answer pain lights
20 You can answer the call light from your phone. Press the start button twiceIt may or may not ring – you will be connected to the room speaker, or “open air”.Choose which patients can benefit from thisBe careful to disconnect before starting another private conversation.
21 Patients want to know that you will be there for them. Stick your head in the doorAnswer by intercomSend a message that you’ll be thereBuild a good track record through the dayApologize for delays
22 That’s called purposeful rounding. It’s not about answering the light quickly,it’s about being there when your patient needs you.Look in on them,ask if they need to use the toilet,if they’recomfortable,if they hurt,if they can reach their things.That’s calledpurposeful rounding.
23 “Rather than adding to the nurse's workload, rounding takes less time than answering call lights and dealing with repeated requests.”Ring for the Nurse! Improving Call Light ManagementMedscape Education (2008). Downloaded fromon 12/16/2012.
24 Purposeful rounding works Not because it’s required -But because it’s the right thing to do.
25 Question:How many of our patients get help to the bathroom as quickly as they want?
26 About half of them – 52%RiverBend, 8 Medical HCAHPS (Hospital Consumer Assessmentof Healthcare Providers & Systems) report 12/31/12.
27 Are you willing to look in on your patients at least once an hour?
28 Are you willing to answer a call light for someone else’s patient?
29 Papers cited here are available at the 8 Medical education web page