[cmo421]

Originally Posted by Alibaba

Please re-read the second paragraph of my post. I believe I addressed your concern about emergencies (and yes a blue pt gasping for breath is an emergency in my book)

I am sorry,but I did read it,and I still do not agree that u need report to man the floor. I know u would not walk by a pt in an emergency,but a pt care contract? Come on. I am just one of those nurses who hit the floor running.( or I was) You need to get report to accomplish your day and for safety. But a few minutes to cover each other without all the in's and out's is perfectly safe and doable. You have to work with what u have and that is an 8 hr day. No one is going to pay OT for shift report. So either establish a shift that covers report(630-1430,1430-2230,2230-0630) or work with what u have. We used to do team years ago,8 hr shifts, side a listened,side b covered and visa versa. Charge people heard the whole floor,if a question arose,someone peeked into report and asked. Sorry,did not mean to get u angry,just believe in working as a team and independent thinking.

[BSNDec06]

I am wondering why report is still being taped. The new standard from the Joint Commission is a person-to-person verbal report with an opportunity to review the orders together so that the nurse coming on can ask questions. Are hospitals not abiding by this rule?

[RN1989]

Report should never take this long. Obviously someone is either talking too long or giving redundant info that can be found on a kardex. You can read the kardex while you are taking report. Report from the offgoing shift should consist of what is pertinent for that pt for that shift. You do no need to read every piece of information written on a kardex. This is usually the reason I have found taped reports to be ridiculously long.

If the nurses are unsure of what they should be including in report, then they need education in priorities, time management, continuity of care and how to give a report.

And why in the world are nurses leaving before report is finished? That is totally inappropriate. If your unit wants to tape report, fine. But NO ONE should leave until the oncoming shift has listened to the tape and then had the opportunity to ask the off going shift if there are any updates/changes that occured between taping and listening to the tape. I have seen nurses that started taping report at 3 am. A lot can happen between 3 and 7 am!

IMO - the nurses on your unit are unprofessional by starting this practice and then allowing this to go on. They are asking for a lawsuit!

[BookwormRN]

[quote=RealNurseWitch;2441054]Yeah, I don't know why the day shift nurses can't take turns listening to report. So the night shift nurses leave while the day shift nurses are in report, leaving no one on the floor. Great./quote]

Where I come from, this is called Patient Abandonment! At my facility, we give face-to-face hand off report. All of the oncoming staff (RNs and Aides) go to the report room. One at a time, the out-going RNs come and give us report on their patients. That way, there are always RNs on the floor.

[Tweety]

Originally Posted by BSNDec06

I am wondering why report is still being taped. The new standard from the Joint Commission is a person-to-person verbal report with an opportunity to review the orders together so that the nurse coming on can ask questions. Are hospitals not abiding by this rule?

Agree. There's a big push with JCAHO to "hand off".

It's a very bad idea for nurses to be in a room listening to report and the night shift leaving.

[Preemienurse23]

The hospital I worked at during school, some of the units did group report, where the charge reported to all pts and all the next shift was in there, or it was a one on one between the nurses. There was ALWAYS a nurse on the floor! That is asking for something to happen.
Personally I think there should be a licensed person on the unit, available at all times.

[Emmanuel Goldstein]

Originally Posted by Tweety

Agree. There's a big push with JCAHO to "hand off".

It's a very bad idea for nurses to be in a room listening to report and the night shift leaving.

I'm stunned. Even if there is taped report, there MUST be time allowed afterward for any updates and questions.

JCAHO would have a field day with that place...

[MustangSallie1997]

Where I came from we had written report on mother baby unit that we read. The previous shift was required to stick around to answer questions and to tend to the patients until the oncomming shift was done. Thats why there is a 30min overlap in shift times 0700-1530, 1500-2330, 2300-0730. that way we got all 8 hours paid, 30 min. being taken out for lunch, and the floor is covered while report was going on.
In labor and Delivery where we only have 1 or 2 patients each we gave verbal face to face report, but there was still that 30 min overlap in shift times.

[bethin]

Originally Posted by SarasotaRN2b

Over an hour for report?

I worked ICU last Sunday, came down to med surg for supplies at 0900 - they were still in report!!! That is just ridiculous. I knew they were in report because I had to go into the room to get the supplies. It's mostly the charge nurse and other nurses have complained about her lenghty report.

Originally Posted by stevielynn

The nurses leaving took turns giving report and the nurses coming on all listened to report on all the patients. So, one nurse is giving report and the others are on the floor.

This seems simple to me . . .

Why do all the off-going nurses have to be in the same room at the same time? They don't need to hear report. They are leaving.

The off going nurses tape report around 0600 and their shift ends at 0700. BUT first shift nurse's shift starts at 0645 so there is an overlap. Many times it's been 0640 and there's been a problem with a pt and night shift will say "not my patient". It infuriating because I'm trying to get do my job and take care of the patient. I think it's unfair and unprofessional to sit there on your butt at 0640 and say this. I'm sure you've heard here that aides run the floor. Well, until first shift nurses show up from report aides run the floor.

steph

Originally Posted by BSNDec06

I am wondering why report is still being taped. The new standard from the Joint Commission is a person-to-person verbal report with an opportunity to review the orders together so that the nurse coming on can ask questions. Are hospitals not abiding by this rule?

They do do face to face but not in the am. I guess their thinking is that third shift is too tired to sit down and answer questions. I agree, I know I get better report when I can ask questions.

Originally Posted by RN1989

Report should never take this long. Obviously someone is either talking too long or giving redundant info that can be found on a kardex. You can read the kardex while you are taking report. Report from the offgoing shift should consist of what is pertinent for that pt for that shift. You do no need to read every piece of information written on a kardex. This is usually the reason I have found taped reports to be ridiculously long.

If the nurses are unsure of what they should be including in report, then they need education in priorities, time management, continuity of care and how to give a report.

And why in the world are nurses leaving before report is finished? That is totally inappropriate. If your unit wants to tape report, fine. But NO ONE should leave until the oncoming shift has listened to the tape and then had the opportunity to ask the off going shift if there are any updates/changes that occured between taping and listening to the tape. I have seen nurses that started taping report at 3 am. A lot can happen between 3 and 7 am!

IMO - the nurses on your unit are unprofessional by starting this practice and then allowing this to go on. They are asking for a lawsuit!

No kardex's anymore, but they could look at their computers for meds, tx, etc. NM had a meeting a year ago stating that report does not need to be lung sounds, bowel sounds, etc that can be found simply by looking it up on the computer.

Oh, they do fool around before they get down to business. If I have a prob with a pt I'll go in the report room and they'll be laughing and eating donuts.

I agree with your statement that nurses should not be leaving before report is finished. Even if a night shift nurse would take turns staying over would be a big help.

Not to mention I get major attitude for interrupting report with a major problem like cp, bs of 40, antibiotics that are finished and need flushed. Then I get a flush thrown at me and told to do it. Ugh, looking for new jobs tomorrow, even if I have to go back to LTC.

I love my job but I will not continue to work in such an environment. I learned that aides during the week are assigned a nurse and that they receive report alongside that nurse while others take care of the floor. I work weekend option with a skeleton crew so that would never happen.

How do I go about reporting this? I don't want to see them get in trouble, but I have brought it to the NM attention.

[lilcajunnurse]

How about walking rounds. we do walking rounds at my hospital and are able to look at iv fluids and tubing labels. We check IV sites and make sure they are patent. Just a quick "Hello" and look over. We usually keep the same pts for the week so we just go over the new stuff. This works great b/c we get to see the pt. and introduce ourselves. Quick look-over= no surprises.