Name:Dave Jay S. Manriquez Date: October22, 2016
Instructor:Pam Barbati Placement:Queen’sParkHospital
In Queen’sPark,IobservedthatLPN’sandRN doan hourlycheckto theirassignedpatient.Since
I am buddy up with an LPN, as a preceptorship student I do have also the task to do this hourly rounds.
For this week I have 2 days and 2 night’s duties,I noticed that during day shift, the staffsare not really
concernof thishourlyroundscomparingittoanight shift.Duringnightshift,weusuallydothe final round
ataround0530, thistime we are helpingthe care aide inchangingbrief toadependentpatient,sometimes
we alsoassistin preparingthe patientfora wash. Aftermakingthe round,we replenisheverything,this
include stockingthe medicationcartwithsyringe,addingcapstobe use fordrinking,straws,spoon, filling
the pitcherwithwater,andlastlycalibratingthe bloodglucosemachine before we closedeverythingand
leave at 0700.
To compare it from mylast exposure inSt.Paul Hospital,itisreallydifferent.Iamcuriousat first
why theyare doingthisbut it was explainedtome by my preceptor,whythere is a needfor them to do
an hourlyrounds.Idon’tknowinSt. Paul if theyare doingan hourlycheckat nightbecause we onlyhave
dayshiftinthere,evenindayshiftwe don’tdohourlyroundsinSt.Paul butinQueen’sParkIdoobserved
it with my preceptor and some of the staffs but not always within the 12 hours shift. My preceptor
explainedtome whytheyare doingthis,according to herthis isto prevent any accidentor fallsbecause
it is more hassle to them if this happenfor theywill fill outan accidentform and the top of it theyneed
to do a close monitoringonthe patientwhichis an additional job,that will give themstressthroughout
the shift.Duringday shifttheydo it seldomlyasshe explainedthatmostof the patientare awake,some
have visitors,there are a lotof hospital staff goinginandout of the room, and most of the staff are busy
giving medications, performing nursing skills, discharge, new admission, and so forth. I am also amaze
with the kind of collaboration they are showing like helpingthe care aide in changing brief, and putting
the soiledlinensonthe humperroom.I feltlike there are notime beingwastedbecause eveninthe last
hour we are still busy in restocking supplies for the next shift.
I guess my reaction of being curious is just normal. I just need an explanation from what I
observed.Tothink of it,what the staff are doingreallymake sense.You don’twant any accidentduring
yourshiftbecause itwill justdelayyourwork.Youdon’twantalso thatsomethingbadwill happen toyour
patientbecause itwill prolongtheirstayinthe unitorevenworsttheywillbe brought backtothe hospital.
This hourlycheck isa protocol that nursingstaff needto observe and follow.There isa form needto be
check and sign every shift, just to serve as a reminder that this thing need to be done religiously every
houras muchas possible.Ianalysethatthisisaperfectmove bythe managementof Queen’sPark,atthe
same time thiswill protectthe nurse andthe patientwelfare.Helpingone anothermake the jobeasyand
fastto accomplish.Doingthe smallthingslikerestockingsuppliesmakesabigdifference.Time shouldnot
be wasted, it should be manage properly.
After knowing all of this I decided to be completely obedient with the protocol and religiously
observedthe hourlyroundsevenif Iam busy,Iwill still findawaytodo it. In the future whenIbecome a
LPN,I will keepinmindthe experience andthe learningsIgetfromthisexposure.Monitoringis veryvital
inthis profession.Evenasimple clue shownbyapatientmaymean a lotof things.Iwill neverassume or
neglect any significant findings. Doing the hourly rounds have its benefit and currently working for the
staff tosave theirselvesfrom anytrouble.If thisisworkingforthem, thenthissystemcanstillworkinthe
future. With the advancement of technology, CCTV can be added to further safeguard and monitor the
patient. Collaboration and lending a helping hand make a working environment very productive.