3B: Scheduled Rounding Protocol
rounds are an opportunity to ensure that universal fall precautions are
implemented and that patients' needs are being met. These rounds integrate fall
prevention activities with the rest of a patient's care.
from Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients'
call light use, satisfaction, and safety. Am J Nurs 2006;106(9):58-70 with
permission. Items that have been modified or added are marked with an asterisk.
How to use this tool:
Review the hourly rounding protocol and adapt it to your specific
circumstances. For example, components of the fall risk factor assessment can
be added, such as a brief mental status screen.
This protocol can be used by
staff nurses, nursing assistants, and the unit manager to ensure that universal
fall precautions are in place.
The following items should be
checked and performed for each patient. Upon entering the room, tell the
patient you are there to do your rounds.
patient pain levels using a pain-assessment scale (if staff other than RNs
are doing the rounding and the patient is in pain, contact an RN immediately
so the patient does not have to use the call light for pain medication).
medication as needed on RN's scheduled list of things to do for patients and
offer the dose when due.
patient is using correct footwear (e.g., specific shoes/slippers, nonskid
the bed is in locked position.*
hospital bed in low position when patient is resting; ask if patient needs to
be repositioned and is comfortable.*
the call light/call bell button is within the patient's reach and patient can
telephone within the patient's reach.
||Put the TV
remote control and bed light switch within the patient's reach.
bedside table next to the bed or across bed.*
||Put the tissue
box and water within the patient's reach.
garbage can next to the bed.
leaving the room, ask, "Is there anything I can do for you before I leave? I
have time while I am here in the room."
patient that a member of the nursing staff (use names on white board) will be
back in the room in an hour to round again.
Return to Roadmap
Return to Contents
Proceed to Next Section