 One member of the nursing staff, including RNs, LPNs, and Nursing Assistants, will be required to perform nursing rounds every hour on 4 South Irving Patients will not be awakened if they are sleeping unless it is necessary for treatment. During nursing rounds, nursing personnel will assess pain levels using a pain-assessment scale, offer toileting assistance, assess the patients position and position comfort, make sure the call light is within the patients reach, put the television remote control and bed light switch within the patients reach, put the bedside table next to the bed, put the tissue box and water within the patients reach and prior to leaving the room ask Is there anything I can do for you before I leave? I have time while I am here in the room. Nursing personnel will also tell the patient that a member of the nursing staff name will be written on white board in room will be back in an hour to round again. Nursing staff members are expected to complete all patient-care tasks, unless they are not authorized to dispense medication or work with IVs. Laminated pocket cards will be given to nursing staff so they are continually reminded of the actions to perform on the rounds. Patients will not be awakened to check for pain, positioning, or the need to use the bathroom; however the environmental check can be completed during rounds. Members of the nursing leadership team including the nurse manager, Director of Medical-Surgical Nursing, Chief Nursing Officer, and Clinical Nurse Specialists will be making frequent observations of staff, using rounding documentation sheets and patient interviews, to verify that rounding is occurring as expected. 