[pk1]

Are there any facilities using voice care reporting system, for handing off reports shift to shift on your units? If so, do you think it will meet the National Safety Goal for handoffs?

[KrustyTheNurse]

What is voice care report? Is it the same as SBAR?

[pk1]

Voice care is a program that can be purchased for recording reports and or messages. It is tied into the phone system.Each nurse is assigned a number and use a password to record or listen to the previous report. What is SBAR?
How is your institution handling the National Safety Goals for handoff reports?

[goflyslow2]

Re;
Voice Care reporting.

"Voice Care" is a telephone recording procedure that has recently been instituted in our 300 bed facility.

An initial patient history is recorded by the admitting nurse (ER or Floor)
The recording is inputted to the room/bed#. Updated shift reports and procedural reports are inputed to this patients original history until discharge.
Sounds good Huh?

This system has proved very cumbersome and time consuming as opposed to traditional verbal reports.

In todays fast moving patient population, a typical patient may be transfered 3-4 times and have 2-3 procedures in the course of 2 days.

Each transfer is a separate action required.......and not integrated into the actual transfer process that is already in place. It is an added transfer process. (Read - just one mpore little thing)

From the recovery room where I work, it may require that I "key" as many as 80 trelephone number combinations in an effort to locate the Patient, transfer the patient into my area...give a post procedural report...transfer that report to the bed assignement...call the nurse on the floor to DISCHARGE the patient that is blocking the new bed assignment for the NEW patient, begin the transfer process again when I think that enough time has elapsed.........find that it hasn't been done yet..............finally transfer the recording, call the nurse back and tell them to listen to "Voice Care'.....arrive with the patient......nurse hasn't had time to listen....end up giving verbal report anyway.

This thing sucks. It was intended for long term facilities. It has the ability for family to access for a family specific report (we have yet to utilize....and probably never will)

It can't keep up with the patient that presents in the ER with Chest pain, goes to cath lab in 1 hour, goes to Recovery room for 2 hours, goes to CCU for 12 hours, PCU for 10 hours, Tele for 8 hours, then home.

Even though everyone complains, it is still being used after 6 months.

$50,000 of Volunteer donation monet spent on this by a director that didn't get input first from staff that would actually use it. Typical......

Chuck RN. 33 years CCU/ER/PACU

[mcknis]

I know this is an old post, but a facility where I had clinicals did all of their reports via a voice recorder. The charge nurse would read through the Kardexes, labs, mini-reports, and some key nurses notes to be passed on during the report. This way the floor was always being covered by complete staffing. Very handy.

[SarahK73]

Call me old fashioned but I still like verbal report. The idea of getting report on a telephone sounds like a problem with meeting national safety goals related to hand-offs. We enourage and use SBAR as well for our reports.
S (Situation)
B ( Background)
A (Assessment)
R (Recomendations)
I want the staff to be able to ask questions and with so many new nurses I want our staff to help teach eachother. We are trying in our hospital to go to Bedside Reporting. We want the two nurses to go together into the patients room and give report at the bedside. It is intended to include the patient, make sure everything is good such as the room is safe, IVs running correctly, dressings done, etc. It avoids the "he said / she said" when there are problems.

[canoehead]

Why does it have to be unit specific Chuck? Why couldn't they just change the system so you input the MR number, and the date, and record your report? Then verbally state the time and where you are for whoever is listening. They have made it too cumbersome to use.