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Considerations for Peri-Operative Rounding

Decades ago, as a new graduate nurse working in a small critical access hospital, I had the opportunity to assist a general surgeon once a week when he and his anesthetist flew into our small town to perform any needed procedures. I was able to reinforce the perioperative nursing skills I had learned during my training and was intrigued by the functioning of the human anatomy and the expertise of the surgical team.

Considerations for Behavioral Health Nurse Leader Rounding

The need for efficient and accessible mental health services has never been higher. The isolation, fear, and economic impact of the COVID-19 pandemic has further exacerbated needs within an already overwhelmed and underfunded system. It is important that every facility be able to a) provide safe and efficient mental health care to promote the well-being of each patient, and b) to maximize their capacity to provide care to more individuals.

Considerations for Critical Care Leader Rounding

The admission of a loved one into a critical care area can put a family into “crisis” mode, especially when a hospital stay is unexpected. Until the status of the patient is known, the priorities for the patient and family revolve around two areas – information and support. Family members at the bedside are often tasked to keep the extended family and friends informed about the situation or to field multiple calls from those with well-meaning intentions.  This is not a time to ask the family how your team is doing.

Considerations for Oncology Leader Rounding

No one wants to hear a diagnosis of “cancer” but with medical research and new treatment breakthroughs, more and more survivors are winning the battle for long and healthy lives. But until the prognosis and outcome are known, patients and families have many questions and need strong support from the healthcare community. Patient “transitions” are a key component of cancer care as patients are referred from their primary care provider and navigate through a team of specialists who assure that body systems are protected while aggressive treatments are aimed at the disease.

Considerations for Medical-Surgical Leader Rounding

Nurse leader rounding on patients has a strong influence on issue identification and engagement of inpatients prior to discharge. At Nobl, we recognize the unit type differences that exist within acute care facilities, big and small. At a recent onsite visit with a large client, the quarterly data review revealed a “healthy rivalry” between the AVPs of the Medical-Surgical and Critical Care areas for top compliance with rounding goals by nurse managers. For the first time this year, the critical care area leaders were outperforming the medical surgical leaders.

Considerations for Pediatric Leader Rounding

Leader rounding allows staff to proactively connect with patients and families. It fosters unit communication and reinforces a commitment to family-centered care and excellence in patient experience. Along with identifying opportunities for improvement, leader rounding also provides a way to recognize individual staff members who receive positive patient feedback.

Barton Health Client Story: Improving hospitalist communication through digital leader rounding

In 2017, Lea Albright, Hospitalist Program Manager, needed to impact physician communication and discharge instruction HCAHPS scores. With limited practice by private physicians, the activities of the hospitalists were driving the data. A lack of provider specific patient comments from HCAHPS scores limited buy-in by physician leaders to enforce needed behavior changes to improve communication. 

3 Ways to Empower Your Staff with a Digital Rounding Tool
Increase employee retention in your organization through addressing needs, recognizing staff, and sharing information. Engage your staff to provide the best care to patients. Reconnect with your staff with these three simple steps. Address Needs Genuinely, take the time to listen to employees about their issues and concerns. Use customized surveys to ask relevant questions that can uncover challenges among your staff.
CARE With Leader Rounding on Patients
Focusing on patient safety and safety culture, leaders can improve clinical outcomes and quality of care. We recently wrote a blog about Creating a WOW Patient Experience and this all begins by having a patient-centric environment. For example, committing to sit down for even a minute and making eye contact can convey caring and send the message that you have time to listen.
Strengthen Your Patient Relationships With Leader Rounding

If you have worked anywhere in a service industry, you are fully aware of the value of relationships. Whether you are serving retail customers, hotel guests or patients and families in the hospital they must trust that you know what you are talking about, listen to their needs/concerns, and work to meet those needs. Unfortunately, in the healthcare industry, the “customer isn’t always right.” Their wants may not align with their needs and we are constantly balancing service with safety, therefore the strength of the relationship may suffer.

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