hourly rounding: a must have safety strategy...hold crucial conversations with high, middle, &...
TRANSCRIPT
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 Please do not quote or disseminate without Studer Group authorization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 Please do not quote or disseminate without Studer Group authorization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
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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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How Do YOU Lead Past Them?
3 simple to use tips
17
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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
Insert
Your
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EVALUATION REMINDER:
We want your feedback to get better. Please
remember to take the session evaluation. Thank you!
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Next Presentation:
Best Practices for Shift Huddles that Drive
HCAHPS Results
Erin Shipley, RN, MSN, Studer Group Coach