University of Nebraska Medical Center

Purposeful Hourly Rounding

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 patient’s needs. A structured approach involves addressing the “4 Ps” during each rounding visit:

  • Pain (Is it controlled?)
  • Personal Needs (Does the patient need hydration or nutrition, the restroom, etc.?)
  • Position (Is the patient comfortable?)
  • Placement (Are personal items and the call light within reach? Is clutter removed from the area?)

Hourly Rounding Education

Print Resources

Hourly Rounding Tools