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Patient Rounding
Patient Rounding
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Created by Qualaris Staff
Inpatient Nursing
Critical Access Hospital
Table of Contents
Audit Form
Audit Form
Patient Rounding
Required
Observed Date
Unit
ED
ICU
Med-Surg
PACU
Rehab
Rounding Shift
7a-7p
7p-7a
Patient Rounding Checklist
Mark all as...
Do you have concerns with the nurses caring for you?
No concerns
Concerns
N/A
Are the nurses responding in a timely manner to your call bell?
Yes
No
N/A
Are your bathroom needs being addressed in a timely manner?
Yes
No
N/A
Do you have any concerns with the doctors caring for you?
No concerns
Concerns
N/A
Have you been educated about the pain control methods available to you?
Yes
No
N/A
Are you satisfied with the cleanliness of your room?
Yes
No
N/A
Is the room quiet enough for you?
Yes
No
N/A
Is your room comfortable? ie temperature
Yes
No
N/A
When receiving medications, do you feel comfortable with the explanations of any new medications?
Yes
No
N/A
Are staff describing medication side effects?
Yes
No
N/A
Do you feel that you have been involved in the planning of your discharge?
Yes
No
N/A
Have all of your concerns been addressed?
No concerns
Concerns
N/A
Is the Whiteboard complete and up to date?
Yes
No
N/A
Is there anyone who has done an "Excellent" job that we should recognize?
Do not enter protected health information (PHI)
