Nursing Rounds

Nursing rounds are given separate names according to thepurpose they serve . a)Information giving rounds :It is used to acquaint the staff with all patients on the wardor division . b)Instructional rounds :Here the nurse is expected to read the charts and come torounds with basic information in mind . c)Problem solving rounds: This is to help the nursing staff learn to conduct initialinterviews make assessment of patient’s needs and identifynursing care problems . Purposes of nursing rounds :1. To demonstrate symptoms important in nursing care . 2. Clarify terminology studied . 3.To compare patient’s reaction to disease and study thedisease conditions. 4. To demonstrate effects of drugs i. e. indication ,actions andreactions of drugs . 5. To illustrate skillful nursing care . 6. To compare method of meeting nursing needs and to havebetter understanding and to give more purposeful care topatients. 7. To illustrate successful improvisation and to give opportunityfor the u se of different applications . Factors to be kept in mind when planning nursing rounds : 1. To consult student’s previous clinical experience to avoidrepetition and to add to earlier experience . 2.Keep in mind the probable value and availability of clinicalmaterial . 3. If some demonstration is done ,it should not have adeleterious effect on the patient . 4. Explain the plan to the patient . 5. Introduce the patient to the group . 6. Make the patient feel important . 7. Have post conference for summary and further explanation . 8. Record the nursing rounds in the ward teaching records witha summary of nursing points stressed . Advantages of nursing rounds :1. Demonstration of symptoms2. To clarify terminology †¢ Herpes simplex †¢ Anemic pallor3. Effects of drugs †¢ Allergic reactions †¢Side effect4. Skillful nursing care †¢ Progressing improvement of bedsore †¢ Maintenance of adequate fluid intake (oral)5. Successful improvisation †¢ Use of a chair as backrest †¢ Device for support of ice bag6. Posture and position as indicated for individual patients †¢ Neutral position †¢ Position for surgical soak †¢ Fowlers position †¢ Position for CCF. In nursing rounds ,a small group of staff or students preferablynot more than 4 or 5 and a leader or a teacher visit the bedside of patient. Preparation by the head nurse: The head nurse selects the patients before hand accordingto the time available .Rounds not lost longer than an hour . Thehead nurse needs to read the patient’s histories ,know the planfor their treatment and its results the patient’s progress andprognosis ,their nursing care and its effectiveness . She shouldpost the time for rounds at least a week in advance and indicatethe type of preparation the nurse is to make ,that in whether sheis to know thoroughly the history care and progress of her ownpatients or briefly that of all patients in the ward . The central figure in nur sing round is the patient .If thepurpose of the sound is instructional or problem solving thepatient will be included in the discussion. Method of Conducting Nursing Rounds:A brief conference at the side of the patient’s room/word has to beheld. Necessary data are given. The purpose of the visit to thepatient is by the head nurse, special observation to be madeor pointed out at this time. 4 to 5 patients are selected forinstruction. 4-5 minutes are apent. The head nurse herself maypresent the uses or she may ask the students who are assigned tothese patients to answer the questions of the group or herquestions.The students are asked to present the cases regarding otherparticulars. The participants may also be involved such ascounting pulse, respiration, examining the conjunctive, pitting,edema etc. The patient’s case sheet can also be utilized withpresentation. Thank the patient before leaving and tidy up thebed. Post Conference:The presentation is summarized and furth er explanation if any, may be given, questions are invited from the students. 5. NURSING ASSIGNMENT:Assignment in the clinical field is the nursing education cumservice. Definition:It is the past of learning experience where the students areassigned with patients or other activities concerning to patientsin clinical laboratory. ? Objectives:1. To provide the patient with the best possible nursing care. 2. To plan assignments which are interesting to n beheld. Necessary data are given. The purpose of the visit to thepatient is by the head nurse, special observation to be madeor pointed out at this time. 4 to 5 patients are selected forinstruction. 4-5 minutes are apent.The head nurse herself maypresent the uses or she may ask the students who are assigned tothese patients to answer the questions of the group or herquestions. The students are asked to present the cases regarding otherparticulars. The participants may also be involved such ascounting pulse, respiration, examining the c onjunctive, pitting,edema etc. The patient’s case sheet can also be utilized withpresentation. Thank the patient before leaving and tidy up thebed. Post Conference:The presentation is summarized and further explanation if any, may be given, questions are invited from the students. . NURSING ASSIGNMENT:Assignment in the clinical field is the nursing education cumservice. ? Definition:It is the past of learning experience where the students areassigned with patients or other activities concerning to patientsin clinical laboratory. ? Objectives:1. To provide the patient with the best possible nursing care. 2. To plan assignments which are interesting to nurses andstimulating to their professional growth. 3. To provide a well rounded educational experience forstudent nurses. 4. Achieving good ward management. Methods of Assignment:1. The patient method2. The functional method3. The team method1. Patient method:In this method of assignment a nurse is expected togive complete nursi ng care to one or more patients includinggeneral nursing measures, treatment, medications, takingtemperature, pulse, respiration, serving nourishments and givinghealth instructions. If she goes on â€Å"off duty† her group of patientsin taken over by another nurse for the period of her absence inorder that the patient may still receive individualized care. 2.The Functional method:In the nurses are assigned to specific functions in the wardsuch as giving medications or treatment to all patients, takingthe temperature of all or giving general nursing care to a groupof individuals. Most hospitals which use the patient methodmodify it to some period of the day such as evenings andnights when a few nurses are on duly. 4. Team method of assignment: Nursing care is given to the patients with team conferenceby all the members of the team. Nursing leader supervises andguides the team in giving quality nursing care.The principlesrelative to making assignments within the team will inclu de†¦. 1 . In planning the patient care a well qualified team members areinvolved in which amount and type of responsibility, a studentcan assume depends upon a stage of her education. 2. All the physical needs and treatment are given by the samenurse but the specific treatment is given by professional nurse. 3. When two persons are needed to give a patient certain care itis often well for the team leader to be one of the two.Whenassisting a team member, the leader has an opportunity toobserve the condition of the patient, work of student and aid andrelationship with the patient and at the same time he can teachthem. Criteria for effective Assignment:i. Students are to be informed of the objectives of theirassignment to a particular ward/unit of the area/hospital forclinical experience. ii. Students are to be oriented to new clinical area. iii. Students are to be given the learning experiences which areoutlined in the objectives for particular clinical experiences. v. Students a re to given facilities to practice nursing accordingto principles taught. v. Only recognized wards of the hospital or community are tobe selected for students to achieve required learningexperience. vi. Assignments have to be assigned according to the consistentlevel of learning that students have reached or attained. vii. Proper guidance and supervisor has to be provided to thestudent during their clinical experience. viii. Sufficient time to be provided to carryourses andstimulating to their professional growth.