Month
Leadership Rounding & Patient Feedback
2. If there is one thing we can do better what would it be?
Time
v1 Aug 2011
1. How would you rate your current hospital stay so far on a scale from 1 thru 10 with 10 being the best experience possible?
Place completed form in mailbox in room H1231
3. **Auditor- How did you resolve any patient issues that were discovered?
Role of Auditor
Satisfaction Score
Page 1 of 2
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
0700-1100
1100-1500
1500-1900
Director
Nursing Director
Manager
Nursing Manager
Supervisor
1
2
3
4
5
6
7
8
9
10
Meals
Admission
Room
Nurses
Tests & Treatments
Physician
Visitors & Family
Discharge
Personal Issues
Overall Assessment
Other
Direct Care Nurse
Charge Nurse
Nurse Manager
Myself
Patient Care Secretary
3SAW
4 AC
5 AC
EAU
6 AC
SICU
PSCI inpt
MICU
MIMCU
HVICU
HVIMCU
HVPCU
Neuro
WHU
Peds
PICU
PIMCU
NICU
OR
SOR
PACU
SDU
ED
Page 2 of 2
Unit
4.
1HVOU
3 HVOC
Other (specify)