Nursing round

Round

1. NURSING ROUND’S

2. INTRODUCTION:- A small group of the staff members ,not more than five and a leader & teachers visit the bed sides of the clients nursing superintendents, ward sisters taking rounds of hospital wards. it helps the nursing members to know about all the patients in the wards there problems & ways of solving. Nursing rounds is an excursion in to patients area involving the student learning experiences.

3. Purposes of nursing rounds T0 demonstrate symptoms important in nursing. To clarify terminology used. To compare the clients reaction to disease. To demonstrate the effects of drugs. To explain the plan to the patient. To illustrate skillful nursing care. To compare methods of meeting the needs. Instructional purpose for student nurses. To learn about disease, pattern of care, treatment. To illustrate successful improvisation & to give opportunity for the use of different application.

4. FACTORS TO BE KEPT IN MIND WHEN PLANNING NURSING ROUNDS. To consult students previous clinical experience to avoid repetition & to add to earlier experience. Keep in mind the probable value & availability of clinical material. Explain the plan to the patient. Introduce the patient to the group. Make the patient feel important. Have a post-conference for summary & further explanation. Records the nursing rounds in the ward teaching records.

5. ADVANTAGES OF NURSING ROUNDS Response of the Patient is more natural Students can select patients with specific problems & plan proper nursing care. The way of conducting nursing rounds are Patients are selected with nursing problems to reinforce their theoretical knowledge. The group observes the behaviors of the patient at the bedside and make proper comments. -The group observes the equipments & articles under use. -The student return to classroom to discuss the nursing diagnosis & needed nursing care for patient.

6. SOME EXAMPLES & TYPE OF NURSING ROUNDS Demonstration of symptoms. To clarify terminology. a) Herpes simplex. b) Anemic pallor. 3) Effects of drugs. a) Allergic reaction. b) Sedative effect. 4) Skilful nursing care. a) Progressing improvement of bed sore. b) Maintenance of adequate fluid intake(oral). 5) Successful improvisation a) use of a chair as back rest. DISADVANTAGES Requires very careful planning. A small group of students can be taken at time

7. PREPARATION BY THE HEAD NUR SE - The head nurse selects the patients before hand according to time available. - Rounds not least longer than an hour. - The head nurse needs to read the patients histories know the plan for their treatment and it’s results the patients progress and prognosis, their nursing care and it’s effectiveness - Rounds for staff nurse should be held separately from those of junior students. - The central figure in nursing round is the patient. - If the purpose of the round is instructional or problem solving the patient will be included in the discussion.

8. METHOD OF CONDUCTING NURSING ROUND’S - A brief conference at the side of the patient’s room/ward has to be held. - Necessary data are given. - The purpose of the visit to the patient is outlined by the head nurse, special observation to be made or pointed out at this time. - 4-5 patients are selected for instruction. - The head nurse herself may present the uses or she may ask the students who are assigned to these patients to answers the questions of the group or her questions. - The students are asked to present the cases regarding other particulars. - The participants may also be involved such as counting pulse, respiration, examining the conjunctive, pitting edema etc. - The patients case sheet can also be utilized with presentation. - Thank the patient before leaving & tidy up the bed.

9. BIBLIOGRAPHY 1) A text book of nursing education Author-B T Basavanthappa Page no-541-543 Edition-2 nd publisher-Jayapee 2) A text book of nursing education Author-K P Neeraja Page no-251 Edition –1 st publisher-Jayapee