Rounding

We are interested in how your day is going and what e can do to help; do you have time to answer a few questions?

Staff Information

Names of Employees

Administration

Business Office

EMS

EVS

FCC

Facilities

HIM

IT

Lab

Med/Surg

Nutrition Services

Outpatient

Patient Access

Specialty Clinics

RLC

RX

Radiology

Rehab

Respiratory

Surgery

Volunteers/Auxiliary

Summary of Staff Visit

What's working well?

What's not going well; what keeps you up at night concerning our patient care or safety?

Do you have all the resources / tools you need to do an exceptional job; if not, what would help you provide better patient care?

How can we help you to better perform / succeed in your job so we always provide outstanding patient care

Good morning/afternoon, my name is ____________ and I am from administration. I am visiting with you today because I am interested in finding out how we are doing during your hospital stay. Would you mind answering a few questions?

Patient Demographic

Emergency Room

RLC

101

102

103

104

105

106

10

108

109

110

111

112

FCC

Summary of Patient Visit

Is our staff responding to you when you call for help and checking in to see if you need anything?

Are we managing your pain appropriately?

Do you have any concerns you would like to discuss?

Before Leaving Patient's Room

Within the next two weeks you will receive a satisfaction survey from Healthstream. This survey is an important tool for Anderson County Hospital to share your patient experience with our leaders and staff. Receiving the highest score is the goal of our hospital leadership, staff and caregivers. Can we count on you to complete and return the survey?

Is there anything I can do for you before I leave, I have time?

Give patient your business card and contact number.

Leadership Information

Leader's Name

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.