Patient Rounding to Verify 4 Ps Hourly Rounding Charge Nurse or Manager (Asst Mgr) 2025

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Many healthcare facilities are using the method of rounding addressing the 4Ps (possessions, position, pain, and potty).
Common Signs and Symptoms: The 5 Ps are oftentimes associated with compartment syndrome: pain, pallor (pale skin tone), paresthesia (numbness feeling), pulselessness (faint pulse) and paralysis (weakness with movements). Numbness, tingling, or pain may be present in the entire lower leg and foot.
Purposeful hourly rounding involves checking on the patient every hour during the day and every 2 hours overnight. It is intended to proactively address a patients needs.
This protocol involves the staff nurses and patient care technicians alternately rounding on patients on even and odd hours consecutively. As staff enters the room, they focus their assessment on the 4 elements of the hourly rounding namely Pain, Potty, Position, and Placement as shown in the checklist.
5 Ps approach is a strategy for fall prevention that encompasses managing pain, positioning, toileting assistance, personal needs and periodic check-ins.
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Hourly rounding incorporates behavioral and environmental components2. The focused hourly assessment includes the completion of the evaluation of the5Ps: Pain, Potty, Positioning, Possessions and Personal needs.
Many healthcare facilities are using the method of rounding addressing the 4Ps (possessions, position, pain, and potty). Despite using the 4 Ps rounding, there has been an increase in patient falls and miscommunication among staff and patients.
The 5 Ps acronym is used systematically in a neurovascular assessment to assess compartment syndromes presence. The Ps refer to pain, pallor, pulse, paresthesia, and paralysis.

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