University of Utah's Kathy Schumann, RN, CCTN, provides an overview of how a nursing intervention to improve response to call lights improved pain management outcomes, increased patient satisfaction, quality outcomes and patient safety.

1. ••••••••••••••

2. WHAT IF adding….
ONE more nursing intervention
to the services you are already
providing would:

3. • Improve Pain Management Outcomes
• Increase Patient Satisfaction
• Improve Quality Outcomes
• Improve Patient Safety

4. • Reduce interruptions during your shift
• Reduce Noise Levels on the unit
• Decrease Call Lights
• Increase Job Satisfaction

5. Can you think of
ONE good reason WHY
You would NOT provide it?

6. DEFINITION:
PURPOSEFUL ROUNDING is a proactive, systematic, nurse-
driven, evidence-based intervention that helps us anticipate
and address patient needs. When applied to nursing, rounding
often is described as “hourly” or “purposeful.”
THE VALUE OF PURPOSEFUL ROUNDING - AMERICAN NURSE TODAY
HTTP://WWW.AMERICANNURSETODAY.COM/VALUE-PURPOSEFUL-ROUNDING/

7. THE RESEARCH SHOWS:
52% reduction in patient falls
37% reduction in patient use of Call bells/lights
14% decline in Skin breakdown/pressure ulcers
12% increase in patient satisfaction ratings
AND evidence of:
Increased job satisfaction and productivity
Decreased inpatient unit noise levels
http://www.americansentinel.edu/blog/2015/06/02/hourly-rounding-is-an-effective-patient-safety-strategy

8. REASONS FOR CALL LIGHT USE
Can you guess the Top 6 reasons patients used the call light?
Would it surprise you to know – studies showed nursing staff
could predict why patients used their call lights?

9. REASONS FOR CALL LIGHT USE
#1 TOILETING
#2 PAIN MANAGEMENT
#3 IV PROBLEMS OR PUMP ALARMS
#4 PERSONAL ASSISTANCE
#5 ACCIDENTAL CALL
#6 REPOSITIONING OR TRANSFER

10. If it’s predictable…
AND
It’s driving us crazy….
WHY don’t we do something to stop it?

11. Let’s LIST your ideas for
Purposeful Rounding
to decrease call lights….

12. Strategies that have been proven to work
WHEN APPLIED CONSISTENTLY
• Assessed the patient's pain level (if the patient is experiencing pain, the RN is contacted immediately)
• Put pain medication doses on the RN's list of scheduled items and offered when the dose was due
• Offered toileting assistance
• Assessed the patient's position and position comfort and asked if the patient was comfortable or needed
to be repositioned
• Made sure the call light was within the patient's reach
• Put the telephone within the patient's reach
• Replaced IV fluids (etc) pre-emptively

13. Strategies that have been proven to work
WHEN APPLIED CONSISTENTLY
• Put the TV remote control and bed light switch within the patient's reach;
• Put the bedside table next to the bed;
• Put the tissue box and drinking water within the patient's reach;
• Put the trash can next to the bed;
• Prior to leaving the room, asked, "Is there anything I can do for you before I leave?
I have time while I am here in the room";
• Tell the patient that a member of the nursing staff will be back in the room in an hour to
round again

14. REFERENCES:
Stokowski, L. A. (2008). Ring for the Nurse! Improving Call Light Management. Retrieved May
4, 2016, from http://www.medscape.org/viewarticle/570242
Tzeng, H. (2010, December). Perspectives of staff nurses of the reasons for and the nature of
patient-initiated call lights: An exploratory survey study in four USA hospitals. Retrieved May
4, 2016, from http://link.springer.com/article/10.1186/1472-6963-10-52#/page-1
Timothy, H. (2015, June 2). Hourly Rounding is an Effective patient Safety Strategy. Retrieved
May 4, 2016, from http://www.americansentinel.edu/blog/2015/06/02/hourly-rounding-is-an-
effective-patient-safety-strategy/