Safety in the Acute Care Setting: Hourly Rounding (Nursing)

00:01 So we talked about safety in the acute care setting, and all these screening tools.

00:06 But there's lots of intervention programs out there such as hourly rounding - we're gonna get into that, med safety and something we call near events from CMS, or Center for Medicaid services.

00:17 And we'll get into that as well.

00:20 So now let's talk about hourly rounding.

00:22 So we're talking about hourly rounding, this could be the nurse or the nursing assistant or any other personnel.

00:29 So we hourly round with what we call a purpose, and there's four P's that consist of that.

00:34 So first of all, when I go into a patient room each time, I want to make sure their bathroom needs are met.

00:40 So number one is named 'potty'.

00:42 So clearly, I'm not gonna ask my patient, 'hey, do you need to go potty?'.

00:46 Probably, it's not the most professional, they also probably don't appreciate that.

00:51 But we are definitely going to address, make sure their toileting needs are gonna be met.

00:55 Next, let's consider their pain level.

00:58 When I as a nurse round on the patient, I definitely want to keep on top of their pain and make sure it's controlled.

01:04 What about the positioning of your patient? If your patients half falling out of the bed, maybe they're uncomfortable, we can help get them in a comfortable position until the next time that we see them again.

01:15 And lastly, don't forget about possessions.

01:18 Now why that's important, you can imagine if my cell phone is all the way at the other end of the room, and it's by a bedside table that I can't reach? Well, as a patient, I'm gonna want to try to get out of bed and grab that because what if it's my daughter, my family member or even my doctor? So make sure their possessions are close such as their bedside table with maybe their cell phone, maybe their dentures, their glasses, for example, something to drink, and also make sure that call light is right where they can call us.

01:48 So let's not forget when we're talking about hourly rounding, do it with a purpose and there's four P's - so it's pain, potty, positioning and their possessions.