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Copyright © 2016 Studer Group. Please do not quote or disseminate without Studer Group authorization Hourly Rounding: A Must Have Safety Strategy Faye Sullivan, RN Studer Group Coach

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Copyright © 2016 Studer Group. Please do not quote or disseminate without Studer Group authorization

Hourly Rounding: A Must Have Safety

Strategy

Faye Sullivan, RN

Studer Group Coach

Copyright © 2016 Studer Group. Please do not quote or disseminate without Studer Group authorization

At the end of this session, participants will be able to:

• Describe direct impact Hourly Rounding® has on falls and hospital-

acquired 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

Session Objectives

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WHY?

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It All Started with Frustrated Nurses

• Task-focused

• “If you need me, call me”

• More reactive than

proactive

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What do nurses need?

Call Light =

911 or Urgent Need

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Call Light

Reduction

> 37%

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•Falls Reduced 50%

•HAPU’s Reduced 14%

7

Safest, Highest Quality Care

What Do Patients Need? And Nurses Want?

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Patient Care Bundle

Introduced March

2012

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: (H)AIDET℠, Hourly Rounding℠, Patient Communication Boards, Bedside Handover

Patient Care Bundle

implemented all

patient wards

Copyright © 2016 Studer Group. Please do not quote or disseminate without Studer Group authorization

46% reduction in falls

St Andrew’s War Memorial Hospital – Brisbane

Patient Care Bundle

Introduced March

2012

Patient Care Bundle

implemented all

patient wards

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YES, Patients Want Highest Quality and Safety

AND They Want To Have An Experience of Care That Is Positive

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“The greatest force on

earth is the human

soul on fire.”Ferdinand Foche

How do you talk about the WHY?

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How do we

“Light ‘Em Up?”

•It was important to him

•The results matter

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Hourly Rounds: WHAT is it?

13

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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)Quality indicators – falls, decubitis, pain

management

4 Address additional comfort needsImproved patient satisfaction on pain, concern and

caring, efficiency

5Conduct environmental assessment and

ensure bed technology is correctly utilizedContributes to efficiency, teamwork

6Ask “Is there anything else I can do for you

before I go? I have time.”

“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

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Let’s See What That Might Look Like

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Hourly Rounds: There will be Potholes

16

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Even with positive change, there is resistance

18

Unconsciously

skilled

Consciously

skilled

Unconsciously

unskilled

Consciously

unskilled

Source: Abraham Maslow; 1940; “Four Stages for Learning Any New Skill””; Gordon Training International by Noel Burch; 1970

1.Understanding Pushback Phases of Change

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2. Involve Staff in Design

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3. Make it Fun

• Create your own

Rounding Queen

video

• Pedometers / Fit Bit

• Top 10 club for call

light reduction

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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

Resources for Partners and Non- Partners

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Tools and Equipment to Do Your Job

www.studergroup.com

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Questions?

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Faye Sullivan, RN

Studer Group Coach

[email protected]

Insert

Your

Photo

Here

EVALUATION REMINDER:

We want your feedback to get better. Please

remember to take the session evaluation. Thank you!

Copyright © 2016 Studer Group. Please do not quote or disseminate without Studer Group authorization

Next Presentation:

Best Practices for Shift Huddles that Drive

HCAHPS Results

Erin Shipley, RN, MSN, Studer Group Coach

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Rounding Queen – Adventist Health

YouTube Video: https://www.youtube.com/watch?v=ovNWV1D4X0c