Nottingham University Hospitals Trust
Nottingham trust launches hourly round initiative
An East Midlands trust is rolling out a new version of hourly rounding on its in-patient wards to ensure basic care needs are met.
Nottingham University Hospitals Trust will begin rolling-out its Caring Around the Clock project to approximately 78 wards this month.
Between 8am and 11pm, nurses will check on the basic care needs of patients every hour, and every two hours between midnight and 8am.
In a bid to avoid the checks becoming a tick-box exercise, staff will have to discuss with the patient their specific needs and agree a time when they will return.
Nurses will select from a list of areas what questions to ask, covering pain management, position, personal care, prevention and care planning.
The project was piloted on 10 wards earlier this year and led to a 32 per reduction in call buzzers and also a reduction in falls.
Marie Hutchings, former ward sister and now project lead for Caring Around the Clock, visited 14 US hospitals last autumn to see how they carried out checks. Her trip was supported by the Nottinghamshire Roosevelt Travelling Scholarship and funded by the League of Friends.
She said: “In 2009 we started hourly rounding but it became a bit of a tick box exercise and we weren’t getting the improvements we wanted.
“Some nurses struggled with hourly rounding. They thought it was a challenge that they weren’t doing what they should be.
“So we changed the name and now nurses have a conversation with the patients from the list of areas set by the trust and agree with the patient when they will next come and check on them.”
She added: “It is a huge cultural change but we think it will deliver real benefits to patients.”
Information supplied to HSJ