Hourly Rounding

The Department of Nursing is committed to implementing Hourly Rounding on all the adult inpatient units.  Hourly Rounding is a practice used to assess and proactively address patient needs in the following areas:  Need to use the bathroom, need for pain medication, need to be repositioned and need for call light and other items to be easily within reach.  By anticipating our patient's needs, we aspire to continually improve nursing care excellence and patient care outcomes.  

The practice of Hourly Rounding has been shown to improve clinical outcomes (falls and pressure ulcers), decrease risk (associated with falls and pressure ulcers), increase growth and capacity (by reduced patient length of stay), reduce call light use, increase patient satisfaction and improve employee satisfaction.  Hourly rounding at UCSF Medical Center involves registered nurses and patient care assistants checking in on the patient on an hourly basis to proactively anticipate the patient’s needs, keep the nurses in control of their workflow and decrease call light use.

Front-line Staff Lead the Way

Unit-level staff are instrumental for ensuring hourly rounding is implemented on their units.  Staff are engaged in tailoring the hourly rounding process to the specific needs of their patients and the culture of the unit.  Patient Care Managers also round using the hourly rounding process and engage and educate staff and families on the process. Hourly rounding is presented at new hire orientation for all RNs and patient care assistants and is incorporated into ongoing education and service excellence training. 

Utilizing Innovative Technologies to Hardwire Hourly Rounding

The Department of Nursing created a website to showcase communication and training tools devoted to Hourly Rounding.  Posters, welcome cards and other information can be found on our intranet site.  The Nursing Performance Improvement Department continues to collaborate with our call light vendor to create reports that trend call light use and track reasons why patients are using their call lights.  By utilizing call light data reports we can better determine if we are addressing our patient’s needs.  

Data Transparency and Analysis

Hourly Rounding Dashboard data is distributed to all participating units.  The dashboards displays call light data, falls incidence, pressure ulcer incidence and patient satisfaction data.  Units can track and trend their call light use and patient satisfaction data as it relates to promptness to call lights, attention to personal needs, how well pain was controlled, if the nurse kept the patient informed, friendliness and courtesy of nurses and the nurse’s attitude towards requests.