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Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional...
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![Page 1: Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022081420/5697bf7c1a28abf838c83fc9/html5/thumbnails/1.jpg)
Intentional RoundingThe Salford Royal Experience
Chris Pearson & Julie Molyneaux
Divisional Directors of Nursing
![Page 2: Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022081420/5697bf7c1a28abf838c83fc9/html5/thumbnails/2.jpg)
![Page 3: Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022081420/5697bf7c1a28abf838c83fc9/html5/thumbnails/3.jpg)
About Salford Royal
• Income £400m• 6,014 staff• 51,000 inpatients• 588,000 community
contacts• 28,000 day cases• 77,500 new outpatients• 220,000 follow-up
outpatients• 78,000 A&E attendees
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What do we consider important ?
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Quality Improvement Strategy
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Driver Diagram
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What Is Intentional Rounding?
• An approach to checking on patients needs
• The rounding happens every 1-2 hours & is undertaken by the responsible nursing staff
• Specific questions are asked and needs met
• It is for the ward to test and implement a system in which intentional rounding works for them – an important part of nursing duties
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Why Do It?
Reduced call bells by 37.8% Reduced miles walked by nurses by
1.6 Reduced falls by 50% Reduced pressure ulcers by 14% Improved patient satisfaction scores
Studer Group’s Alliance for Health Care Strategy (AHCS) research
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The 4 P’s
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Intentional Rounding Form
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Patient Information
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Pillow Card
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Concerns & Challenges
• Tick box exercise
• Reduction in autonomy
• “Mithering” patients
• Time-consuming
• Too much focus on process rather than philosophy
• Seeing the patient reliably every hour is good thing
![Page 15: Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022081420/5697bf7c1a28abf838c83fc9/html5/thumbnails/15.jpg)
Reliability
![Page 16: Intentional Rounding The Salford Royal Experience Chris Pearson & Julie Molyneaux Divisional Directors of Nursing.](https://reader035.fdocuments.us/reader035/viewer/2022081420/5697bf7c1a28abf838c83fc9/html5/thumbnails/16.jpg)
Pressure Ulcer Data
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Next Steps
• Ensure reliability
• Ensure meaning
• What matters most?
• Reviewing the process
• Community rounding
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Prime Minister’s Visit to Salford
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Nursing and Care Quality Forum
• The forum will seek out good practice, and advise on implementation.
• The prime focus will be to exhibit national leadership to stimulate local action by those delivering care to address problems and promote the improvements needed across services.
• The forum will have its own independent chair• Membership that brings diversity in knowledge, expertise and
interest. • It will be expected to use research, establish an evidence base,
listen to a wide range of views and synthesise best practice.
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Workstreams
• Empowered and accountable nurse leadership
• Time to Care
• Right culture, right values
• Involve, listen to, hear
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Questions?