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Patient Experience Team Rounding
Patient Experience Team Rounding
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Created by Qualaris Staff
Patient Experience
Table of Contents
Audit Form
Audit Form
Patient Experience Team Rounding
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Checklist
Mark all as...
Room clean and free of clutter?
Yes
No
N/A
Temperature of the room is aligned with patients request?
Yes
No
N/A
Quiet sleep environment at all times?
Yes
No
N/A
White Board updated and clearly displayed?
Yes
No
N/A
Care plan updated and shared with patient?
Yes
No
N/A
Medication (s) plan and purpose discussed?
Yes
No
N/A
Pain controlled?
Yes
No
N/A
Was the food enjoyable?
Yes
No
N/A
Was the special diet request met?
Yes
No
N/A
Did staff respond to alarms swiftly?
Yes
No
N/A
Satisfied with staff care and attention?
Yes
No
N/A
Was patient welcome given, comfort line told, TV listings shared and falls prevention talked over?
Yes
No
N/A
Was internal follow up conducted when needed to address real time patient needs?
Yes
No
N/A
