I need help- Our CNO and hospital administrators are now making manditory on all units, bedside reporting. We call it Walking Rounds, but it is really bedside report. A little backround on our unit:
We work on a busy orthopedic unit where most patients follow a predicted course of treatment. Their mornings start early with lab draws every morning at 4am, doctors in between 5:30-7am, techs taking vitals and blood sugars at 7am, CPM machines go on at 6, and therapists are in the rooms starting at 7:30am. Now they are asking us to interupt them one more time with bedside report. Our patients chief complaint is interruption of sleep. They are busy from 4am-4pm really. They see a minimum of 2 doctors, PT twice, OT twice, care coordinator, social worker, hourly rounds by nurses and PCA's. They are very informed of their care from every person.
We are having a very difficult time coming up with positives for true bedside reporting. Right now everyone is giving report int he halls, and then if necessary going into rooms to check PCA machines, dressings, etc. What I need from you all is some positives that come from your bedside reporting. Seems everything I have read on here has the same problems we are experiencing.
Our negatives include:
-multiple nurses to get report from
-no one to get pain meds and potty trips during shift report times
-oncoming nurses who want to do their assessments during report
-those who arrive late, or floating from other floors
-waking patients who have finally fallen off to sleep, and interrupting naps in the afternoon
-families, visitors- how do we handle this and HIPPA
-Charge nurse not getting adequate report on patients and not beign aware of problems on unit, and other nurses on the shift not being aware of other assignments, whether it be deterioration in condition of a certain patient, or difficulty of others assignments
-Difficulty writing report down and concentrating on what needs to be said if interrupted during report
Anxious to hear some positives so I can take them to my staff and maybe convince myself that this is really best practice