At this months unit meeting, we were informed that we'd be starting Bedside Report to increase staff accountability & decrease shift "Dumping". We were told that only "abnormal" findings would be communicated to cut down on the amount of time. I'm completely receptive to making changes if it promotes efficiency, patient safety and/or improves staff morale. I work part-time 3p-11p (6 days every 2 weeks) which significantly affects the continuity of patient assignments. Most times having new patients each time I work.
I consistently follow the same Day Shift RN each time I work - which is the basis of my concern. The pertinent information she communicates in report is minimal. She often times does not know the recent vitals, pertinent daily labs ie; elevated INR's Low K+, Low Na, elevated creatinines or the telemetry rhythm they were in for the duration of her shift. If a patient is admitted w/ CHF or Pneumonia - she doesn't remember her lung assessment or I&O. She often answers "I'm not sure but I'm think they were fine". When I start my shift, I find a patient with a Potassium 2.0, Urine output of 100 cc/shift, BP 80/40's etc. It's very frustrating and not to mention sets me up for "liabilty" issues. I can't trust the info she gives in face to face report, much less at bedside where only the "abnormals" are communicated. I've spoke with the nurse supervisor numerous times about this RN & completed many incident reports for situations involving this RN. Any suggestions on how to address this situation?