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WHAT IF adding….

ONE more nursing intervention

to the services you are already providing would:

• Improve Pain Management Outcomes

• Increase Patient Satisfaction

• Improve Quality Outcomes

• Improve Patient Safety

• Reduce interruptions during your shift

• Reduce Noise Levels on the unit

• Decrease Call Lights

• Increase Job Satisfaction

Can you think of

ONE good reason WHYYou would NOT provide it?

DEFINITION:PURPOSEFUL ROUNDING is a proactive, systematic, nurse-driven, evidence-based intervention that helps us anticipate and address patient needs. When applied to nursing, rounding often is described as “hourly” or “purposeful.”

THE VALUE OF PURPOSEFUL ROUNDING - AMERICAN NURSE TODAY

HTTP://WWW.AMERICANNURSETODAY.COM/VALUE-PURPOSEFUL-ROUNDING/

THE RESEARCH SHOWS:52% reduction in patient falls

37% reduction in patient use of Call bells/lights

14% decline in Skin breakdown/pressure ulcers

12% increase in patient satisfaction ratingsAND evidence of:

Increased job satisfaction and productivity

Decreased inpatient unit noise levelshttp://www.americansentinel.edu/blog/2015/06/02/hourly-rounding-is-an-effective-patient-safety-strategy

REASONS FOR CALL LIGHT USECan you guess the Top 6 reasons patients used the call light?

Would it surprise you to know – studies showed nursing staff could predict why patients used their call lights?

REASONS FOR CALL LIGHT USE#1 TOILETING#2 PAIN MANAGEMENT#3 IV PROBLEMS OR PUMP ALARMS#4 PERSONAL ASSISTANCE#5 ACCIDENTAL CALL#6 REPOSITIONING OR TRANSFER

If it’s predictable…AND

It’s driving us crazy….

WHY don’t we do something to stop it?

Let’s LIST your ideas forPurposeful Rounding

to decrease call lights….

StrategiesthathavebeenproventoworkWHENAPPLIEDCONSISTENTLY

• Assessed the patient's pain level (if the patient is experiencing pain, the RN is contacted immediately)

• Put pain medication doses on the RN's list of scheduled items and offered when the dose was due

• Offered toileting assistance

• Assessed the patient's position and position comfort and asked if the patient was comfortable or needed to be repositioned

• Made sure the call light was within the patient's reach

• Put the telephone within the patient's reach

• Replaced IV fluids (etc) pre-emptively

StrategiesthathavebeenproventoworkWHENAPPLIEDCONSISTENTLY

• Put the TV remote control and bed light switch within the patient's reach;

• Put the bedside table next to the bed;

• Put the tissue box and drinking water within the patient's reach;

• Put the trash can next to the bed;

• Prior to leaving the room, asked, "Is there anything I can do for you before I leave? I have time while I am here in the room";

• Tell the patient that a member of the nursing staff will be back in the room in an hour to round again

REFERENCES:

Stokowski, L. A. (2008). Ring for the Nurse! Improving Call Light Management. Retrieved May 4, 2016, from http://www.medscape.org/viewarticle/570242

Tzeng, H. (2010, December). Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: An exploratory survey study in four USA hospitals. Retrieved May 4, 2016, from http://link.springer.com/article/10.1186/1472-6963-10-52#/page-1

Timothy, H. (2015, June 2). Hourly Rounding is an Effective patient Safety Strategy. Retrieved May 4, 2016, from http://www.americansentinel.edu/blog/2015/06/02/hourly-rounding-is-an-effective-patient-safety-strategy/