NURSE LEADER ROUNDING ON PATIENTS CHECK LIST
UNIT: Staff: Date:
Manager: Coach:
|STEPS |Room/Bed |Room/Bed |Room/Bed |Room/Bed |
|Check with staff (Priority patients to be seen, process | | | | |
|success, issues, patient concerns/complaints) | | | | |
|Relationship Building: Personal connection from the nurse | | | | |
|Begin Rounding | | | | |
|Acknowledge & Personal Connection | | | | |
|Introduce Family inclusion (with permission) | | | | |
|Duration of Rounding | | | | |
|Explain Process & Why (key words – Our goal is to provide you | | | | |
|with very good care…) | | | | |
|White Board review (include Very Good Care items) DESIRED PAIN| | | | |
|LEVEL ON WHITE BOARD | | | | |
|Manage Up (staff, organization, MD,etc) | | | | |
|Safety – (hand washing, fall precaution follow up, wrist band | | | | |
|checks) | | | | |
|Key drivers from survey addressed | | | | |
|(Dig deeper – Survey issues) | | | | |
|Key Words used relating to survey | | | | |
| Validate staff behaviors (eg. need call light in last 24 | | | | |
|hrs,pain managed, intro themselves, etc) | | | | |
|Identified Staff/physicians to be recognized | | | | |
| If Discharge – (introduce survey) | | | | |
| Hourly Round: complete tasks (environmental assessment, | | | | |
|validate tasks done, log signed) | | | | |
|Request permission to check bathroom (KW- Consistent & VG) | | | | |
| Give Business Card | | | | |
|Closing Statement: “Is there anything else…” | | | | |
| Sign Hourly Rounding log (use red & circle anything | | | | |
|questionable) | | | | |
|Thank the patient | | | | |
|Ask self: What did I learn about the quality of care delivered? How hardwired are behaviors? |
|Log Rounding information | | | | |
|Coach every staff member post rounding (R&R, S-C-S, DESK) | | | | |
|Complete follow up on any issues identified & report back to | | | | |
|patient | | | | |
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May 2004:Observation Form
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