Bedside report

[martymoose]

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.

Any thoughts??

[OnlybyHisgraceRN, ASN, RN]

how does the ed mess things up? just curious. we do bedside report at the ed i work in. (please excuse grammar)

[RNsRWe, ASN, RN]

....I think it could be embarrassing and perhaps frightening for a patient to hear that twice a day. "This is Mr. Smith, he is a 68 year old DM2, with a history of ETOH abuse, schizophrenia, hypertension, MI, etc, etc, etc. He had a left TKA yesterday and because he is on daily pain medications, he has needed x, y, z, for pain management and rates his pain at 15/10. His latest labs show a whole lot of crazy scary stuff that his doctor hasn't reviewed with him yet, and it is really freaking him out to hear me tell you. I put in a call to Dr. Important regarding his total lack of urine output, but they have not bothered to call me back. We are waiting for a social worker consult before discharge because his (insert family member) is believed to be stealing his pain meds and unable to care for him at home. Let me just keep saying a whole lot of stuff that you really need to know, but is scaring and angering Mr. Smith at the same time, blah, blah, blah." Awesome customer satisfaction scores or incomplete reporting? I guess that's our choice.

LOL, my thinking EXACTLY!

How, precisely, are nurses supposed to convey information like "Mr. Smith has Stage 4 lung CA, mets to everywhere, and about 15 minutes to live---we sure wish his doctor would mention that to him, but Doc has been away skiing and plans to tell the family when he gets back sometime next week."

And let's not forget "keep an eye out for any visitors trying to get in to see this patient here....he's been caught having various people attempting to slip opiates to him. If you can't head off visitors, you should be sure to keep the crash cart handy...."

And don't miss out on "Mrs. Jones is completely lucid during the day, but sundowns so badly at night you'll wish you could posey her to the bed like we used to. But as it stands now, she isn't aware of the problem and family refuses to accept that there IS a problem, but don't worry, a social worker might be in to see them sometime in the next day or two. Meantime, for your nightshift, prepare to have this perfectly lovely lady swinging from the sprinkler heads by midnight!"

[martymoose, BSN, RN]

^^^^^ good one !

[martymoose, BSN, RN]

Omg I hate that I had to revisit this thread, but now we are 1) being told we are to WAKE UP the pt so they are interactive in the report (????????), and 2) that we are not to be having ANY overtime due to this- if we do we will be written up.

How is waking the pt up going to help satisfaction scores???

It's a no win situation.

I wish I knew how to do something other than nursing:no:

[applewhitern, BSN, RN]

Well, as soon as you wake the patient up, they will want to get up and go pee. Or want pain medication. Or something, anything to slow you down! Half of our patients are too confused to participate, and the other half are chronic pain complainers.

[eatmysoxRN, ASN, RN]

Omg I hate that I had to revisit this thread, but now we are 1) being told we are to WAKE UP the pt so they are interactive in the report (????????), and 2) that we are not to be having ANY overtime due to this- if we do we will be written up.

How is waking the pt up going to help satisfaction scores???

It's a no win situation.

I wish I knew how to do something other than nursing:no:

I wish management would work the floor just one single day. That crap would not happen. Wow. You're employer is going to fire everyone I suppose!

We do walking rounds. They're okay. Sometimes we will get stuck in a room but otherwise it works well. We also keep sheets that contain pertinent information that are passed along from shift to shift.