Maybe this is just me on my usual common sense rant, but I would also like to hear some VALID pro's in the idea of bedside report. Over my five years of nursing, I have discovered that nursing reports can be a lot like a game of telephone. Nobody ends up knowing the original chief complaints, the tests that ruled things out, or what the game plan is. Reports become an incredible waste of time that could be spent in front of the chart - viewing the invaluable information contained in the H&Ps, latest prog note, actual labs and test results, AND (most importantly) ORDERS!!!! It cannot be overstated that orders get missed/misinterpreted frequently.
....and then came the bedside report! I've done travel nursing for 2 years, and I will say all of the hospitals I worked at are trying to implement this. Hospitals with single rooms or with double rooms, research and university hospitals, HMO and small community hospitals, etc. Makes me wonder if it's an upcoming gov regulation based on correlations and not causes, like nosicomial infections being used as a factor for medicare reimbursement (the infections happen, but it doesn't necessarily mean the direct cause is poor care. There are other factors, including compromised immune function and increased exposure to those bugs that play an important role in the outcomes.). So, we're still taking "misinterpreted telephone" notes in report time without laying eyes on the facts, but now, we're extending report time to 45-60 min. I'm sorry, but this screams inefficient.
Recently, I heard an argument by an administrator in terms of this being a process-improvement deal, in which we are minimizing the involvement of the person-the nurse, and replacing it with a systematic task - a forced checking IVF, name bands and account numbers, etc (yes, doing the assessment for the next shift). Furthermore, the argument continued that it guarantees that patients will be at least visualized once during the beginning of the shift. I believe the bedside report is an intended move towards safety, but I wonder if it's a misguided move. I also wonder if this is a method of sacrificing our common sense and critical thinking skills on the alter of rote tasks. We will likely continue to see errors with this method of report-wrong IVF hanging and orders misread and passed on in report that way.
Why am I always shot down when I suggest an alternate method of report? Here's my idea: I would like 20 minutes with the chart for my 4-5 patients, and 10 minutes with the nurses. I've been doing it for years, and it works great. I've found and corrected many errors. I also know more about where things are going case by case, and am more prepared to answer pt's questions, which comes off as an air of competence to them.
Wonder if this helps you?