Nursing rounds, also called ward rounds or teaching rounds, involve a small group of staff and nursing students visiting patients bedsides to discuss care. The rounds allow for observing patients' conditions, evaluating treatment results, teaching students, and prescribing modifications to nursing actions. Rounds benefit students by integrating theory with practice, improving communication skills, and increasing understanding of patients and conditions. However, rounds can be time-consuming and cause patient embarrassment or anxiety.
2. Nursing rounds is sometimes called as ward
rounds or teaching rounds.
Nursing round is the extension of bedside clinic,
because in this methods we visit near the
patients and discuss about patient care.
There is also a limit of personnel in group during
round.
3. A small group of staff member not more than
5 and a leader or teacher visit , the bedside
of the clients .Teaching faculties , nursing
students , takes rounds of the hospital wards
.It helps the nursing members know about all
the patients in wards , their problems and
ways of solving .Time required for each
patient is 4-5 minutes.
4. To observe the physical and mental condition of the
patient and the progress made from day to day.
To observe work of staff.
To specific observation of the patient and give
report to the doctor regarding .For example ,
wounds , drainages , bleeding.
To introduce patient to personnel and vice versa.
5. To carry out plan made for care of patient.
To evaluate result of treatment and patient
satisfaction.
To ensure that safety measures are employed for
patient and personnel.
To orient the nurse/student in taking charge of the
patient’s treatment and status of the patient.
To teach nursing students or hospital staff regarding
specific condition.
6. To check any preventable condition in
patient such as bedsore ,foot drops ,etc.
To check emergency equipment near the
patient for safety and working order.
To prescribe any modification in nursing
action.
8. The student or staff nurse who has been
caring for the patient may present
briefly the patient’s history , and
medical aspects of his care , describes
the nursing care which is most
essentail.
9. The students will be following nursing
rounds , the clinical instructor or the ward
supervisor will stop briefly at the bedside
of each patient for a short discussion .The
instructor may ask any nurse or student in
the group to tell what she knows about the
client and his nursing care.
10. In teaching hospital it is a customary that
professor takes rounds with medical students.
The head nurse of the team leader can
accompany the doctors because a good deal
of information about the patient can be given
by them. Also, it helps in carrying out and
follow-up of the treatment, care, and
diagnostic tests that are prescribed during
the rounds.
11. Teaching rounds are memorable and
motivating.
Integration of theoretical knowledge with
practical skills.
Give a patient a chance to ask question
(promotes better communication).
Better understanding of the patient and his
problems.
12. Helps in discussion and identification of
important signs and symptoms of the disease
condition in the patients.
Helps student to relate theory with reality by
comparing book pictures with patients
manifestation.
Helps in the understanding of drug effects.
Helps in the improvement of communication
skills.
13. Helps student gain knowledge about
different treatment modalities.
Provides opportunity to student to identify
changes in the lab values as a result of
different diseases.
Increased patient satisfaction as they think
hospital staff are taking interest in their
care.
14. Need food preparation.
Time consuming.
Patients may feel embarrassed.
Patients may become more anxious about their
condition.
Patients rest and comfort may be compromised.
Only a small group of students are benefitted at
one time.
15.
16. Reports are oral or written exchanges of
information shared between care givers of workers
in a number of ways . A report summarises the
service of the personnel and of the agency
[JEAN B2002]
Reports are information about a patient either
written or oral.
[SR. NANCY]
17. Reports are a standard way to send message.
In nursing, message can be delivered in many
ways, but the report is used when the
message is longer and requires detail.
While writing a report, it is important to
understand the message and purpose of the
report.
18. Keep your report as short as a possible.
Summarize your massage on page 1 of report.
Keep the body of your report as brief as possible.
Recommend solutions if you identify problems.
19. Use tables to summarize and present information
visually and put background details into
appendices. Keep the purpose of the report in
mind-is it meant to inform, persuade, request,
analyze, or recommend?
If you want the receivers of the report to take
action, be specific about the action you want
them to take and request it on page1 of report.
20. Keep under safe custody of nurse.
No individual sheet should be separated.
Not accessible to patient and visitor.
Strangers is not permitted to read records
Records are not handed over to the legal advisors
without written permission of the administration.
Handed carefully , not destroyed.
21. The patient have a right to inspect and copy the record
after being discharged.
Failure to record significant patient information on
the medical record makes a nurse guilty of negligence.
Medical record must be accurate to provide a sound
basis for care planning .
Errors in nursing charting must be corrected promptly
in a manner that leaves no doubts about the facts.