Rounding for Patients, Physicians and Staff Karen Carlson MSN,RN,CRN Nursing Director Endoscopy and Minor Procedures

Objectives Describe the leader role in rounding to improve patient, physician and staff satisfaction”.   Effectiveness and evaluation of rounding Improve patient, staff and physician satisfaction

Leadership Power and influence are key elements in developing a successful leadership role. Dr. Diana Mason states “power is used effectively to build relationships” which is critical in advancing the nursing profession (Laureate Education, 2010).

Studer Suburban hospital partner with Studer little over three years ago Monthly onsite coaching visits Leadership development institute quarterly Directors/Managers responsibilities

Rounding Improves patient, staff, and physicians satisfaction Patient and family engagement Promotes team work and cohesive with unit Engagement

Staff Rounding Develop personal connection with employee Spend 5-10 minutes with each employee monthly ( may take longer) Location of rounding Develop standard questions for rounding Utilize key elements with in the unit Ability for staff to recognize each other

Staff Rounding Form

Staff Rounding Questions Change questions Gather data Gear questions to improvement process Review previous survey questions

Staff Recognition from Peers Positive feedback Recognize a colleague, physician or any one within the organization Questions asked Who would you like to recognize How did one demonstrate going above and beyond

Staff Recognition Staff meetings Presentation of awards (group setting) Display awards picture frame Notes to home

Rounding Awards

Awards

Awards

Staff Recognition for Compassion

Stop Light Report Tool design to finalize rounding results Staff concerns are heard Review and discuss action plan with staff Display on bulletin board Reviewed and updated status Goal to move items to green

Stop Light Report Red Cant complete at this time /here's why Policies/Procedures Yellow Work in progress needs improvement Define strategies to improve area Staff engagement GrGreen Complete ( we do it well

Stop Light Report

Green/Complete Team work Great job staff feel that unit is working well together    EPIC staff like EPIC assist with decrease in errors and mistakes can navigate system  Great team work staff works well together unit organized physicians happy  

Yellow/needs improvement EPIC Charges improvement with PACU times, supplies Kronos time and edit sheets complete time and edit sheets Specimens intra-op and pathology req completed EPIC scanning documents operative report, history and physical

Red (can not change) Policies/Protocols Computerized documentation system

Physician Rounding Key in successful relationships Collaborative partnership Teamwork Positive and Negative Feedback Effective communication strategies

Physician Recognition

Physicians Thank you Notes

Patient Rounding Round and introduce yourself Met family members Primary nurse Address concerns real time Follow up

Patient Rounding Hourly rounding Charge nurse/ nursing manager rounding Improve patient outcomes Improve patient satisfaction

Patient Satisfaction Identify areas for improvement Identify areas working well Patient satisfied prior to discharge

Huddles Staff huddles Key elements Ability to dissimilate information Daily Huddles

Interdepartmental Rounding Managers/directors rate departments as to their service Enhance and improve interdepartmental communication Customer service and satisfaction Results Follow up

Evaluation Rounding Increase patient satisfaction results Employee engagement survey Improve patient outcomes

Summary Using tools and techniques to improve patient, staff and physician satisfaction Emphasizes on collaborative team approach to patient care Foster communication

References Laureate Education, Inc. (Producer). (2010). Power and Influence [DVD]. In The nurse leader: New perspectives on the profession. Baltimore, MD: Author. https://www.studergroup.com