Daily Rounding for Patient Safety and Nursing Satisfaction

Poster PresentationPurpose for the ProgramGaps noted in knowledge regarding patients on the unit increased the number of safe staffing surveys submitted, which reported concern about assignments. Frustrations were expressed about missing or broken equipment, which resulted in increased time spent by registered nurses (RNs) searching for equipment; key patient information failing to be relayed during daily huddles; and increased length of stay in labor room due to concerns about plans of care that were not addressed. We proposed to institute daily rounding between the bedside nurse, charge RN, unit manager, and the patient. Questions to be addressed by the bedside nurse include the following: What is your patient's history and diagnosis? What category tracing is your fetal heart rate strip? What concerns you most about this patient? What is the plan of care for this patient? Do you feel safe with this assignment? Do you have all the equipment needed to care for patient? Questions for the patient include the following: Do you have everything you need? Do you have any concerns or questions about your plan of care? Are we meeting/exceeding your expectations?Implementation, Outcomes, and EvaluationThe assistant clinical director modeled the rounding process with the unit manager and charge RN to ensure that the process was fully understood. The unit manager and charge RN assumed primary responsibility of daily rounding 4 weeks after the assistant clinical director modeled the proc...

Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nan Ybarra Tags: Professional Issues Source Type: research