Hourly Rounding: A Must Have Safety Strategy

Transcription

1 Hourly Rounding: A Must Have Safety Strategy Faye Sullivan, RN Studer Group Coach

2 Session Objectives At the end of this session, participants will be able to: Describe direct impact Hourly Rounding has on falls and hospitalacquired pressure ulcers Describe impact of Hourly Rounding on HCAHPS. Recall strategies to increase staff adoption of all eight key Hourly Rounding evidence-based behaviors 2

3 WHY?

4 It All Started with Frustrated Nurses Task-focused If you need me, call me More reactive than proactive

5 What do nurses need? Call Light = 911 or Urgent Need 5

6 Call Light Reduction > 37% 6

7 What Do Patients Need? And Nurses Want? Safest, Highest Quality Care Falls Reduced 50% HAPU s Reduced 14% 7

8 St Andrew s War Memorial Hospital Brisbane St Andrew s War Memorial Hospital is a 250 bed facility, with 14 theatres & 3 CCT labs, and is part of a UnitingCare Health (UCH) a 4 hospital system in Queensland, Australia. Patient Care Bundle Introduced March 2012 Patient Care Bundle implemented all patient wards Patient Care Bundle: (H)AIDET, Hourly Rounding, Patient Communication Boards, Bedside Handover

9 St Andrew s War Memorial Hospital Brisbane Patient Care Bundle Introduced March 2012 Patient Care Bundle implemented all patient wards 46% reduction in falls

10 YES, Patients Want Highest Quality and Safety AND They Want To Have An Experience of Care That Is Positive 10

11 How do you talk about the WHY? The greatest force on earth is the human soul on fire. Ferdinand Foche

12 How do we Light Em Up? It was important to him The results matter

13 Hourly Rounds: WHAT is it? 13

14 Behaviors of Hourly Rounds: The P s Aren t Enough HOURLY ROUNDING BEHAVIOR EXPECTED RESULTS 1 Use Opening Key words Creates efficiency - checkin on ya won t suffice 2 Accomplish scheduled tasks Contributes to efficiency 3 Address 3 P s (pain, potty, position) 4 Address additional comfort needs Quality indicators falls, decubitis, pain management Improved patient satisfaction on pain, concern and caring, efficiency 5 6 Conduct environmental assessment and ensure bed technology is correctly utilized Ask Is there anything else I can do for you before I go? I have time. Contributes to efficiency, teamwork Call me if you need me decreases efficiency and improves patient satisfaction on teamwork and communication 7 Tell each patient when you will be back Contributes to efficiency 8 Document the round Quality and accountability

15 Let s See What That Might Look Like 15

16 Hourly Rounds: There will be Potholes 16

17 How Do YOU Lead Past Them? 3 simple to use tips 17

18 1.Understanding Pushback Phases of Change Even with positive change, there is resistance Unconsciously unskilled Consciously unskilled Consciously skilled Unconsciously skilled Source: Abraham Maslow; 1940; Four Stages for Learning Any New Skill ; Gordon Training International by Noel Burch;

19 2. Involve Staff in Design

20 3. Make it Fun Create your own Rounding Queen video Pedometers / Fit Bit Top 10 club for call light reduction

21 Resources for Partners and Non- Partners The HCAHPS Handbook 2nd Edition: Tactics to Improve Quality and the Patient Experience Filled with actionable tips proven to improve patient perception of care. A PDR for healthcare professionals Broken out by composite so readers can zero-in on specific parts of the survey Gain the keys to sustaining gains maximize reimbursement The Nurse Leader Handbook Reward and recognize positive behaviors Hold crucial conversations with high, middle, & low performers Use Key Words to drive quality outcomes Teach and implement service recovery Answer tough questions Talk to the C-Suite in a way that gets results firestarterpublishing.com

22 Tools and Equipment to Do Your Job 22

23 Questions?

24 EVALUATION REMINDER: We want your feedback to get better. Please remember to take the session evaluation. Thank you! Insert Your Photo Here Faye Sullivan, RN Studer Group Coach

25 Next Presentation: Best Practices for Shift Huddles that Drive HCAHPS Results Erin Shipley, RN, MSN, Studer Group Coach

26 Rounding Queen Adventist Health YouTube Video: 26