Hourly Rounding Affects Patient Satisfaction

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Hourly Rounding: How hourly rounding affects patient satisfaction
Jay Davis
Eastern Gateway Community College Abstract
When a patient becomes hospitalized, it is important to ensure patient safety and satisfaction. A process known as hourly rounding has been implemented in many hospitals as a way to achieve this increase in patient satisfaction. The hourly rounding process consists of four concepts that are covered with each hourly round. When these concepts are implemented, the nurse will anticipate the needs of the patient and prevent unnecessary and untimely call lights. Hospital implementation of this process may receive some resistance but with the proper training and education this process can increase patient safety and patient
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Hourly rounding is usually performed every hour during the hours of 6:00 a.m to 10:00 p.m. and every two hours between the hours of 10:00 p.m. to 6:00 a.m. (Hicks, 2015). When doing the hourly check on the patient, it is important for the nurse or nurse assistant to focus on pain, potty, position, and proximity of personal possessions. These four concepts are known as the four p’s of hourly rounding. Communication is a key factor not only between nurses but between nurse and patient, therefore many hospitals have what is known as a “whiteboard” in each patient’s room. This whiteboard allows the nurses and patient to communicate about rounding preferences such as positioning and comfort measures, this whiteboard allows for these preferences to be seen by the entire healthcare team (Halm, 2009). The whiteboard in the patient’s room tend to increase the patient’s and family satisfaction by allowing them to see needed information while keeping them up to date on any changes that have been made throughout the course of the hospital stay.
When performing hourly rounding, it is important to speak with the patient and anticipate what the patient will need within the next hour. When a nurse enters the room, the nurse should address the patient and ask how he or she is feeling. This will help the nurse get an overall sense of the patients well-being at the moment. The nurse should then talk with the patient to
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