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Rounding for Patients, Physicians and Staff
KAREN CARLSON MSN,RN,CRNNURSING DIRECTOR ENDOSCOPY AND MINOR PROCEDURES
Objectives Describe the leader role in rounding to improve patient, physician and staff satisfaction”.
Effectiveness and evaluation of rounding
Improve patient, staff and physician satisfaction
Leadership Power and influence are key elements in developing a successful leadership role. Dr. Diana Mason states “power is used effectively to build relationships” which is critical in advancing the nursing profession (Laureate Education, 2010).
Studer Suburban hospital partner with Studer little over three years ago
Monthly onsite coaching visits
Leadership development institute quarterly
Directors/Managers responsibilities
Rounding Improves patient, staff, and physicians satisfaction
Patient and family engagement
Promotes team work and cohesive with unit
Engagement
Staff Rounding Develop personal connection with employee
Spend 5-10 minutes with each employee monthly ( may take longer) Location of rounding
Develop standard questions for rounding
Utilize key elements with in the unit
Ability for staff to recognize each other
Staff Rounding Form
Staff Rounding Questions Change questions
Gather data
Gear questions to improvement process
Review previous survey questions
Staff Recognition from Peers Positive feedback
Recognize a colleague, physician or any one within the organization
Questions asked
Who would you like to recognize
How did one demonstrate going above and beyond
Staff Recognition Staff meetings
Presentation of awards (group setting)
Display awards picture frame
Notes to home
Rounding Awards
Awards
Awards
Staff Recognition for Compassion
Stop Light Report Tool design to finalize rounding results
Staff concerns are heard
Review and discuss action plan with staff
Display on bulletin board
Reviewed and updated status
Goal to move items to green
Stop Light Report Red Cant complete at this time /here's why
Policies/Procedures
Yellow Work in progress needs improvement
Define strategies to improve area
Staff engagement
GrGreen Complete ( we do it well
Stop Light Report
Green/Complete Team work Great job staff feel that unit is working well together
EPIC staff like EPIC assist with decrease in errors and mistakes can navigate system
Great team work staff works well together unit organized physicians happy
Yellow/needs improvement EPIC Charges improvement with PACU times, supplies
Kronos time and edit sheets complete time and edit sheets
Specimens intra-op and pathology req completed
EPIC scanning documents operative report, history and physical
Red (can not change) Policies/Protocols
Computerized documentation system
Physician Rounding Key in successful relationships
Collaborative partnership
Teamwork
Positive and Negative Feedback
Effective communication strategies
Physician Recognition
Physicians Thank you Notes
Patient Rounding Round and introduce yourself
Met family members
Primary nurse
Address concerns real time
Follow up
Patient Rounding Hourly rounding
Charge nurse/ nursing manager rounding
Improve patient outcomes
Improve patient satisfaction
Patient Satisfaction Identify areas for improvement
Identify areas working well
Patient satisfied prior to discharge
Huddles Staff huddles
Key elements
Ability to dissimilate information
Daily Huddles
Interdepartmental Rounding Managers/directors rate departments as to their service
Enhance and improve interdepartmental communication
Customer service and satisfaction
Results
Follow up
Evaluation Rounding Increase patient satisfaction results
Employee engagement survey
Improve patient outcomes
Summary Using tools and techniques to improve patient, staff and physician satisfaction
Emphasizes on collaborative team approach to patient care
Foster communication
References Laureate Education, Inc. (Producer). (2010). Power and Influence [DVD]. In The nurse leader: New perspectives on the profession. Baltimore, MD: Author.
https://www.studergroup.com
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