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MSC 2010 Annual Conference Solution SubmissionHourly Rounding The 4 PS Organization Name: Peninsula Regional Medical Center Janet Mercer & Cheri ta Pagan Contact Person: Janet. Mercer peninsula.org
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To fill out the hourly rounding form, follow these steps:
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Begin by printing out the hourly rounding form template.
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Write down the date and time at the top of the form.
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Record the patient's name and room number.
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Document the current status of the patient in terms of their comfort level, pain level, and any specific needs or concerns.
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Indicate the last time the patient was checked by circling the appropriate time on the form.
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Check off the items that have been completed during this rounding, such as medication administration, assistance with personal care, turning and repositioning, etc.
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Note any additional observations or actions taken during the round, such as changes in vital signs or unexpected events.
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Sign and date the form to validate the completion of the hourly rounding.
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Submit the form to the appropriate supervisor or designated storage location for documentation and accountability purposes.

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Hourly rounding form is a documentation tool used by healthcare professionals to systematically check on patients at regular intervals, ensuring their needs are met and enhancing patient safety.
Healthcare staff, including nurses and nursing assistants, are typically required to file the hourly rounding form as part of their patient care responsibilities.
To fill out the hourly rounding form, healthcare staff should note the time of the rounding, check on patient comfort, pain levels, needs for assistance, and any observations, and then sign the form.
The purpose of the hourly rounding form is to improve patient satisfaction, ensure timely care, and reduce potential safety risks by making regular check-ins with patients.
The form must report the date and time of rounding, patient name, specific needs addressed, observations made, and the staff member's signature.
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