What are the 4 P’s of Hourly Rounding?

What are the 4 P’s of Hourly Rounding?

Sometimes the little things can make all the difference. If you’ve ever had someone hold a door for you when you’ve had an armful of groceries, you know this to be true.

Welcome Hourly Rounds. Just a little thing—something you are probably already doing—that will make a big impact on our patients. How? In addition to preventing falls, research indicates that hourly rounding increases patient satisfaction and decreases the use of call bell requests.  

All inpatient ACP units, as well as the ED, Observation Unit and Women’s Surgical Unit will participate in this initiative. Hourly rounding will be performed by a nurse or PCT every hour during the day and evening shifts, as well as every two hours during the night shifts. In recognition of the importance of uninterrupted sleep, sleeping patients will not be awakened.

Attention will be focused on the four P’s: pain, peripheral IV, potty, and positioning. Rounds will also include an introduction of the nurse or PCT to the patient, as well as an environmental assessment.

To ensure that this new practice is standardized, a script has been developed to serve as a guide for communication between the staff member, patient and family, and staff will be competencied in this new practice.

In order to determine the effectiveness of this proactive nursing intervention, the occurrence of falls, hospital acquired pressure ulcers, and peripheral IV infiltration will be measured on all participating units. The level of patient satisfaction related to call bells, response of nurses, and pain management will also be measured.

Hourly Rounds will kick off on Tuesday, July 6. Look for additional information on the cafeteria bulletin board, during the upcoming Traveling Coffee Cart, and at the bus stops. Please feel free to contact Ann Marie Pessagno at apessagno@aahs.org Cathaleen Ley at cley@aahs.org directly with any questions.

Thanks to the Falls Committee and Unit-Based Nursing Quality Councils for their work in implementing this EBP intervention at AAMC.

The “little things” we do can have a big impact on our patients and their families. What are some other proactive interventions that make a difference on your unit?

-Cathaleen Ley, PhD, APRN, BC

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