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