Bedside report - page 2
by jrwest 7,847 Views | 41 Comments
I know there are many posts on this subject. We were just told we WILL be doing this under no uncertain terms. We have semi private rooms. We have dementia pts,confused people , psych pts, drug seekers, etc now. How is bedside... Read More
- 5Jan 26, '13 by buytheshoes11We have private rooms on my floor, but I always do report outside of the room before going in with the AM nurse. If the patient is awake I like to say bye and introduce the on-coming nurse, and to ask if the patient has any questions/needs something at the moment. Typically, the patient is sleeping, and I see no point in waking up the patient one last time in order to give a bedside report. This is just my opinion though.
- 3Jan 26, '13 by jrwest^^ We actually have been doing this all along for the most part- give report, then go "meet " the pt , check rhythm, lines etc. THAT is not acceptable anymore. We're told ALL in the room- not at the station, not outside the pt door, etc. I should copy the paper that they gave us from studor ( stupor??) that tells us how to script the report. Like how to re word that the pt is a drugseeker, or how they are non compliant of whatever- it is reworded in a "special snowflake " way.
I was so disgusted with the paper I left it in my locker.
So unbelievable. I only hope it will be a short lived fad, but we were told by our new manager this will not be an option. And her being new ( new to floor, not new to mgmt) she will dig her heels in in an effort to look favorable to her higher ups.
Really. I think this is the last straw. I was was 4 classes away from finishing the BSN, thinking I might find a better job. Market here doesnt look favorable for anything beyond what I am doing now. I'm going to take that money I would have spent, and go backk for coding or something. Something BEHIND the scenes.
I feel sorry for my fellow nurses.
- 0Jan 26, '13 by seanynjboyQuote from jrwestI am a nursing student graduating in April and the hospital I am doing my preceptor ship encourages bedside reporting. I can tell you that the patients do appreciate it more when you are in there, even if they only understand 1/2 of what is being said. Doing clinicals in hospitals in this city where you do not have bedside reporting I found I personally did not like. The patient seemed to like seeing the informal handoff to the oncoming nurse. Just my perception...I know there are many posts on this subject. We were just told we WILL be doing this under no uncertain terms. We have semi private rooms. We have dementia pts,confused people , psych pts, drug seekers, etc now. How is bedside report going to help them feel like a special snowflake when they arent even able to participate in the report, yet their room mate probably will know more about them then they do.
Are all hospitals going to this crap, or is it just "magnet" ones? More like opposing magnet.
oh, and when iI read prev. posts that " oh we just give the abbreviated versions in front of the pt ( so i guess they can feel all warm and cozy inside that we chose to include them in their" plan of care , lol), we have also been told NO- we will the the WHOLE report in the rooms- there are not to be any nurses out at the nursing stations sitting down. And we will also be having senior management personel following us around and critiquing our reports.
Gee, if I wanted to become an actor, I would have gone to school for that.
As for the patients with dementia, psych issues - that might be a little different scenario. I worked in a hospital as a pharm tech where I used to see the nurses record their report on a cassette tape with those old time tape recorders (the BIG ones). Who knows if people still do that...or some form of it...
- 0Jan 26, '13 by NicuGalWe have always done this, even before it was in vogue. If there are family there and there are sensitive things we need to say we do so before we go to the bedside. You get used to it. And it does help to go over lines, etc and check IVF and expiration dates. You also get to see what IV sites look like or something else you need to see so you can make comparisons later. If you have computers in each room, you just use that do go thru the flow sheet and MAR and orders. Once you get used to it, report goes pretty fast. If there is family there with other visitors we ask if it is okay if we talk about their child in front of th.
- 0Jan 27, '13 by rockstar11Hospital wide we are expected to do bedside report. Many floors, it is enforced heavily, even requiring nurses to write their managers notes when bedside report didn't happen. On my floor? yes, it's expected, and usually happens. As an oncoming nurse, I like it, I can see my patient and assess a few things quickly as the offcoming nurse tells me. Had a couple of times where the pt was unresponsive or AOX1 and was AOx3. Also.... I've noticed that now that the hospital has been enforcing bedside report, a lot more codes get called between 0700 and 0730!
Anyways, with all things, we use are nursing judgement. somethings just are NOT appropriate to be said at the bedside.
- 2Jan 27, '13 by jrwestOk I get that some things are not appropriate at the bedside- but since we were told the whole report is to be given in the rooms, and there should be NO nurses out on the floor, when are we supposed to give those "sensitive " details? And as for time, sometimes I , when on days , might get report from 4 different nurses. Being that we are in the pt room- if the pt starts bringing up questions, complaining, etc- that report will be taking a much longer time than in the past.
- 6Jan 27, '13 by woohQuote from Sun0408While it certainly violates the spirit of privacy rules, it's not actually a violation. Your roommate hearing things is merely "incidental" or some other BS that allows hospitals to get away with keeping their semi-privates.Call me dumb here but wouldn't bedside report in a NON private room be a big HIPAA violation??
Quote from jrwestTHAT is the one weapon you have. Make it take longer. Once the incidental overtime starts adding up, and this idiocy costs money, only then will management rethink things.Ok I get that some things are not appropriate at the bedside- but since we were told the whole report is to be given in the rooms, and there should be NO nurses out on the floor, when are we supposed to give those "sensitive " details? And as for time, sometimes I , when on days , might get report from 4 different nurses. Being that we are in the pt room- if the pt starts bringing up questions, complaining, etc- that report will be taking a much longer time than in the past.
By the way, I have to know what special snowflake terms you were given to sugarcoat the truth enough to say it in front of the patient. Please share!!!