Purposeful Rounding Best Practices that Lead to Improved Clinical Outcomes

purposeful rounding

Purposeful rounding can be improved by these three best practices.

Hospitals face an increasing demand for high-quality care while also facing the need for keeping costs low. One solution to maintaining patient satisfaction without suffering skyrocketing costs is to implement a structured purposeful rounding routine. Rounding is the tried and true method of ensuring that all patients are receiving optimal care. In fact, purposeful rounding has been proven to increase patient satisfaction as well as minimize patient falls, reduce nurse call use, and a decline in skin damage.

There are several types of nurse rounding practices: interdisciplinary rounds, nursing management rounds, and rounding with alternative caregivers. No matter which method your facility employs, there are a few best practices that are sure to improve even the most structured rounding.

The 4 P’s

Many healthcare facilities choose to implement the 4 P’s in their rounding practice. The 4 P’s stand for:



Personal needs

Personal elimination

There are other variations of this process, but all focus on the elements of comfort, environment, bathroom, and activity. Ensuring that these four factors are carried out effectively is a key part of providing patient satisfaction. Successful rounding will have these concerns at the heart of the routine. It’s a good rule of thumb to follow up a visit by asking “Is there anything else I can do for you?” as well as telling the patient when to expect the next visit. This also works to ensure that caregivers address all issues and leave the patient feeling satisfied.

Consistency and Sustainability

The key to any nurse rounding routine is consistency and sustainability. A good rounding routine will be consistent, meaning that caregivers can reasonably expect to be able to visit all of their patients at regular intervals. Not being visited by a caregiver at the expected time is one of the biggest complaints of dissatisfied patients.

Equally important is sustainability. A purposeful rounding routine may work flawlessly at first, but the infrastructure must be in place to keep the routine running smoothly into the future.

The Right Workflow Devices

So, how can facilities ensure that they are incorporating the 4 P’s into their rounding routine while also maintaining a practice of consistency and sustainability? One key is providing your facility with the right workflow devices that support the rounding routine.

West-Com Nurse Call Systems offers two workflow devices that can accommodate different types of facilities. The first is a standard version that includes a three-button option that can be customized to send reminders to individual caregivers after a specified amount of time.

The enhanced version includes a touchscreen that allows for multiple rounding options. These devices, located outside the patient’s doorway, can be programmed to include rounds for safety, skin conditions, the 4 P’s as well as rounding for other departments. Notifications can be automatically sent to other facility services, such as EVS, transportation, or the laboratory. Customizing workflow devices to support each unit’s specific requirements is an advantage for healthcare facilities that want to keep consistency and sustainability at the heart of their rounding practice as well as improve patient outcomes.

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This entry was posted on Monday, March 27th, 2017 at 4:19 pm. Both comments and pings are currently closed.

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