[font="comic sans ms"]we used to use a form that had room for basics such as name/dx/rm #/assessment abnormalities/vs/iv site/meds given/i/o. i didn't really like it, i thought there was a lot of stuff missing. i mean, no place for the admitting doctor, medical hx, abnormal labs.... we would tube the report up, and the patient would soon follow. actually, from what i understand, the patient often got there first.
my hospital went to this because of how tough it could be to get someone on the phone to give report to.
anyway, with the new caregiver communication issue with joint commission, the tubed report is no longer ok, we have to call report so the person receiving report has the opportunity to ask questions. i actually like it better this way (maybe i'm weird), though it does get frustrating when i get asked a question that i had already answered. ("do they have an iv?" "um, yeah...that sc tlc i told you that the doc put in....")
when we switched back to the verbal report, the big concern was getting someone to actually come to the phone and take report. they have been told that they have to take report within 15 min. if they can't, then the charge nurse has to take the report. end of story. so far, no problems. i'm sure there were come a day when even the carge nurse is too busy to take report, and there will be a big scene about it all. i only hope that whomever is trying to call report has the good sense to realize that if even the charge nurse is too busy to take report, then it is probably not a good idea for the patient to go up at that time. (i know this isn't the case in all hospitals, but at least in the one i work out, they have good charges who don't tend to play games).