Shift Report - page 4

by ladytopaz

43,274 Views | 38 Comments

I am a first year nurse, graduated in June of 2005. I am having one heck of a time being able to give report off to the next shift without the oncoming nurse making rude comments, rolling of the eyes and what not. What the heck... Read More


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    Quote from Just wondering
    Thanks to you all, I learned more....but one thing I notice with nurses and reports......lots of the "no complaints, she/he's fine, nothing to report." are all those terms good to use or should we say a second or two about them like, "slept all night or rested quietly".....that kinda sounds the same....I don't know, any thoughts? Just me, just wondering
    Well, report to me, is just an informal passing on of information, so I don't think that language you use is that important. I, personally, would mention that someone had been sleeping every time I had checked them during the night and he had an uneventful night. The reason I would say it that way is because there were times when I came back to work and heard that a patient had complained he hadn't gotten one wink of sleep and had had a miserable night. What a surprise to me! That same patient who slept all night and we had heard nothing from? Yup. Since then, I've always wanted the on coming day shift to know that the patient was asleep every time I saw him, had no complaints. At least, I'm less likely to get a call at 10am asking about the person's night. I've had reports from 3-11 people that a patient was "OK" and my first contact with the same patient turned out to be an unloading by the patient about all the things that had gone wrong for him during the afternoon and evening. But, to my way of thinking, the most important things to know about in report are tests, new important doctors orders, or any big events that occurred with the patient during the day. Some things, like emotional upsets don't always get charted on, nor should they be documented, but you still want to know about them.
  2. 0
    WONDERFUL!!!
    Great insight on life in general, and you are very gifted in expressing yourself. This helped me tremendously.
    thank you Miranda!!!
    Jim
  3. 0
    Quote from jenrninmi
    hmm, i am definately one that has a little pleasant conversation most of the time as we're walking to the patient's chart. i didn't realize some people were put off by it. it definately isn't the nurse i'm giving report too. trust me, i want to get out of there too. it can take up to an hour to give report for 8 patients, but it definately is not because imention to the nurse that i like her hair that day. i feel one reason i don't get the rolling of the eyes by the nurses i give report to is because i get along so well with the other nurses, not to mention getting my stuff done and knowing about the patient before giving report. and if something wasn't done before giving report, it get's done - by me.
    what is it you are really trying to say here????

    remember that nursing is about caring for others and that includes fellow nurses. there is no "i" in team.
  4. 0
    Quote from azrn22
    What is it you are REALLY trying to say here????

    Remember that nursing is about caring for others and that includes fellow nurses. There is no "I" in TEAM.
    I'm confused. Why are you upset about my post? I work well with others, (nurses, NAs, NTs, secretaries, etc) and I complete my work. Is there something wrong with that?
    Last edit by jenrninmi on Dec 13, '05
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    {I'm confused. Why are you upset about my post? I work well with others, (nurses, NAs, NTs, secretaries, etc) and I complete my work. Is there something wrong with that?}

    Nothing wrong with that. I must have mis-interpreted your previous post....it was my mistake not yours.
  6. 0
    There will always be nurses that do things like this, no matter how good you are. There is one nurse on my unit who was actually a classmate of mine, (graduated the same day, started work the same day);that I swear can't possibly listen to a word that I am saying because she must be trying to find something to call me on...

    Just an example: Pt is a 58 yr old patient who received a double lung transplant 10 days ago, with a history of COPD, hypertension and smoking....

    This nurse then asked how many pack years the patient had smoked. What does it matter, she doesn't have those lungs anymore, and they wouldn't have given them to her if she still did

    I don't mind the attitude as much from the more experienced nurses, although it can be really really annoying. I burns my butt to have this attitude from someone with not one day more of experience on the floor. I hate giving her report, as for the others, I know the styles of the rest of the oncoming shift well enough that I am usually able to tailor report to the individual nurse.

    Don't give up, it will get better.
  7. 0
    My first hospital job as a new grad, the assistant nurse manager worked the night shift, and she was a *itch...she was giving me and another new nurse the business (after we had both worked a total of 16h to help out the hospital so they wouldn't have to get 2 agency nurses), the good thing was, our day shift manager ALSO worked 16h and witnesses what this so called "asst mgt" did, rolling her eyes, etc, making comments under her breath like "it'll take me til 2am to straighten this mess up"...

    Our day shift nurse manager wrote her ugly butt up!!! After 2 weeks, she was no longer assistant nurse manager because of her behavior toward 2 new nurses...The GOOD thing about it was I told myself, the new grad, and our manager that I would always remember her behavior and remember what it is like to be a new grad and I would always treat folks with respect...



    I just took a new position in the IMCU, and it is SO much different that the floor...on the floor, we would just hit the highlights, and more focus on the family/social issues the patient was dealing with...where as in the IMCU/ICU, they want history, then head to toe....I haven't been formally trained in that area, and just doing the best that I can; I just ask them what they want...

    When you tell an ICU nurse that a patient is on heparin, they want to know why (well the patient is post op and he has a history of atrial fib, and because he had abd surgery, he can't get back on his coumadin until his gut sounds return)...for the most part, they have been great with me. I TELL them i'm new to this department and I'm used to floor nursing for 10 yrs...

    re: 3rd shift...some folks can be really mean...i've heard of ICU nurses fighting in front of the patients and families!!! but there are mean folks on every shift...just takes a strong person to write them up (i've found folks that have been fine, then get real ugly have family issues going on that makes their nerves raw)

    Hang in there! nursing is a learning process whether you are in your first position, or in there for 30 yrs.



    linda
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    sometimes the nurses that want such a diligent report, are the ones that don't assess their patients, and should you work a 16h shift, they are the ones parrotting back the same information you gave them 16h ago!!!

    linda

    really how many packs did they smoke? why didn't she ask you what color eyes the patient has? just as relevent
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    I have 17 years experience icu, ccu, psychiatry, ed and mgt. Also, I have several degrees. All around, nurses will want to tear you down to make themselves feel better especially when they feel threaten especially by older nurses such as ourselves that are smart, have had other careers, and education. My best advice to you for shift report is this: Concentrate and what you are doing when you give report. Don't let the person rattle you. Continue to keep your train of thought through her charades and state the facts about the patient for the patient's sake and welfare. If the pt is on the floor for more than three days, go back three days. Give a short short synopsis of why the pt is on the floor, the surgical procedures the patient has received. The highlights only for those three days athat are significant such at arrhythmias, codes, blood transfusions and number. Then tell in detail presently what happened in your day. What condition your patient was in at the beginnning of your day, what you did to help his condition, if the conditions worsened or improved with treatments and meds. What iv treaments received and continues. What equipment is presently in use or needs to be used on the next shift. What orders that are outstanding that the next shift need completed. And, the condition that you are leaving the pt in, such as nsr, a-fib, knee immobilizer in place, etc. Then ask, do you have any other questions for me? If none. Document that you gave report to the on coming nurse to his or her satisfaction.


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