how many people do 2 hour changes???
Rounds are done every two hours. If a resident is not feeling well most nurses will check more frequently then every two hours.
I've seen it done where they both will round every two hours but on alternating schedules.... like nurses round on even hours and CNAs would round on odd hours. That way the patient is being checked on every hour and always more frequently if needed.
The unit I work on, our CNA's round every half hour. But we have a specific staff member assigned to rounding, and just rounding, on each unit. If that staff is rounding, there is another staff taking care of any other duties.
Rounds SHOULD be done every two hours by all care givers. Reality, unfortunately, is not always what should be done. More often than not, the nurse aide is more on target with hourly to every two hour rounds than the nurse. The nurse is hit/miss targeting resident with specific care needs and not doing and actual patient to patient round.
We are an assisted living company and we have recently reduced our rounds. For years we did hourly rounds, but we decided it did not make sense in our setting to have scheduled rounds. We are seeing the residents on a regular basis through answering call lights, meal times, activities, cleaning rooms, etc. With our ratios of about 5 -1 during the day and 8/10 -1 at night it just isn't necessary.
We now do rounds at shift change (3 times in 24 hours) and once in the middle of 3rd shift, since they are not likely to see the residents quite as often.
There are a few residents that require more frequent checks, but we try to reserve that for special circumstances and short time periods.
All floor staff participate in rounds at our communities.
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