Rounding is an important part of the routine for nurses in the care of patients to not only anticipate needs but also prevent injury to the patient. Walker characterizes rounding as an act that happens intentionally is reoccurring through out the shift in order to meet patient needs and to insure no harm comes to the patient, (Walker 2015). Lowe emphasizes a pilot program by the Department of Health’s Quality that focuses on reducing falls and pressure ulcers, (Lowe, 2012). This analysis will focus on Harrington definition in which rounding in an intervention to improve patient satisfaction and safety, (Harrington, 2013). It is important to note the in order for the concept of rounding to exist certain attributes are used for this concept
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Rounding (intentional rounding, hourly rounding, rounding with intent), involves checking on the patient at regular intervals in order to determine their specific needs. This term was first appreciated in the United States because it was found to have improved clinical outcomes and patient experiences through evidence-based research. The term intentional rounding or rounding with intent was first devised by Owensboro Medical Health System in Kentucky and was later adopted by the UK in 2006 (Forde-Johnston, 2014, p.37). However this is not a new revelation. Rounding on patients has been done for decades now in different forms. Nurses during the 1970s and 1980s used to perform “back rounds” in order to ensure that patients’ positions were being changed every two hours in order to prevent the formation of pressure ulcers. This practice is still implemented today. In addition, hourly rounds now consist of nurses checking on their patients’ general well being and the 4 P’s. The 4 P’s include positioning, personal needs, pain, and placement (Forde-Johnston, 2014,p.38). The 4 P’s helps nurses, nursing assistants and clinical supervisors perform rounds in a more organized manner, providing a checklist to help ensure patient safety and comfort. On their rounds, the provider asks “how is your pain at this time?” After determining what the patients pain intensity is, the provider can offer appropriate measures such as PRN medications or position changes. For personal needs, the provider can address their toileting needs. The provider can remain with the patient so as to prevent the patient from getting up on their own and falling. Positioning goes along with the “back rounds”, where providers check on their patients’ position and turn them every two hours as needed. This helps decrease the risk of pressure ulcers and
Rounding (intentional rounding, hourly rounding, rounding with intent), involves checking on the patient at regular intervals in order to determine their specific needs. This term was first appreciated in the United States because it was found to have improved clinical outcomes and patient experiences through evidence-based research. The term intentional rounding or rounding with intent was first devised by Owensboro Medical Health System in Kentucky and was later adopted by the UK in 2006 (Forde-Johnston, 2014, p.37). However this is not a new revelation. Rounding on patients has been done for decades now in different forms. Nurses during the 1970s and 1980s used to perform “back rounds” in order to ensure that patients’ positions were being changed every two hours in order to prevent the formation of pressure ulcers. This practice is still implemented today. In addition, hourly rounds now consist of nurses checking on their patients’ general well being and the 4 P’s. The 4 P’s include positioning, personal needs, pain, and placement (Forde-Johnston, 2014,p.38). The 4 P’s helps nurses, nursing assistants and clinical supervisors perform rounds in a more organized manner, providing a checklist to help ensure patient safety and comfort. On their rounds, the provider asks “how is your pain at this time?” After determining what the patients pain intensity is, the provider can offer appropriate measures such as PRN medications or position changes. For personal needs, the provider can address their toileting needs. The provider can remain with the patient so as to prevent the patient from getting up on their own and falling. Positioning goes along with the “back rounds”, where providers check on their patients’ position and turn them every two hours as needed. This helps decrease the risk of pressure ulcers and