1. With Individualized Patient Care in the ED
Hourly Rounding
With Individualized Patient Care in the ED

2. None of this is new. It’s just Better!
Why hourly rounding in the ED?
Increased patient satisfaction
Reduce LWOBS
Reduce AMA
Reduce call lights
Reduce families and patients approaching the nursing station
Reduce patient falls
Increase awareness of ED staff

3. Hourly Rounding…how? Introduce yourself
Perform scheduled tasks (giving medications, starting an IV, wound care)
Address Pain, Plan of care, Duration (wait times)
Additional comfort needs (warm blanket, pillow, ice, bathroom, etc)
Conduct environmental assessment (ensure call bell within reach, side rails up, room tidy)
Explain when you or someone else will return
“Is there anything I can do for you before I leave?”

4. Why is Hourly Rounding Important?
You have responded to the top three priorities of all ED patients…PPD…pain, plan of care, and duration.
ED patients want to have their pain controlled; want staff and physicians to keep them informed about their plan of care; and want to be kept informed about delays.