Ugh...Bedside Report - Page 3Register Today!
- Apr 30, '12 by NicuGalWe have always done bedside report in our unit and most of the peds areas. We have up to 6 kids in each pod, so we are used to it I guess. If there is a lot of sensitive stuff that needs to be discussed we do it away from the patient or in the hall. We always go to the bedside for a general report and to trace lines and check labels on lines, feeds, etc. But, according to Joint Commission the family has a right to hear nursing report and be involved (ok, we know how that goes, but it is what it is) and to do an SBAR and face to face. You will get used to it.
- Apr 30, '12 by Esme12Quote from woohAnother fine example of not really "knowing" how things function at the bedside level.....I'm sorry.We got chastised for not giving a "full" report even if you're handing off back and forth to the same nurse multiple days in a row. "Mr. X has a history of blahblahblah." "Yes, I know that. In fact I told YOU that 12 hours ago."
- Apr 30, '12 by theantichickI'm still a student, so most of what I've seen is a combination of bedside report and "station" report. I've seen nurses who just flat refuse to do bedside report. I can see the arguments both ways, and when I get a job, I'll do whatever the policy is. So I'm not complaining about the policy, but I'd like to share something I've observed:
Bedside report takes a lot longer. Not per patient, there are actually some time savings I see there. BUT, I've noticed that they don't hand off the same 4 (or 5 or 6 or whatever) patients from nurse A to nurse B. Nurse B has to find out the 2 or 3 different nurses who have cared for the patients s/he is getting (Nurse A, C, and D) and wait for whichever of them finishes first with Nurses E, F, G, H and I - get report from that nurse, then wait for the next one to get through. It's a goat ropin' as we say here in Texas. I've seen shift report take an hour because of all the combinations of offgoing and oncoming nurses who have to get together in the patients' rooms. If Management is serious about initiatives like this, they need to get real about the OT that will ensue.
- Apr 30, '12 by nursefrancesI feel awkward during bedside report. It's 7 am and lets have 20 nurses all talking at the same time. Some patients look at you like they would rather be sleeping then hearing you discuss their bowel movement schedule. I prefer to sit at the nurses station, then go see the patient after.
- Apr 30, '12 by turnforthenurseRNQuote from amoLuciaFolks ARE noisy! We do not have 2 pts per room on my unit, but some of the rooms (such as the ones in the corners) are very close to another room. I was taking care of a patient and she asked me, "is so and so still here? You know, the guy in 19." I said I had no idea and said I wasn't supposed to discuss other pts bc of privacy issues, and she said "I just overheard the nurses and docs and family members talking him and about him, blah blah blah...."How would this work with double rooms and the HIPAA regs??? Sheesh, folk are so nosey now! Just watch folk and try to be confidential at the nsg desk when the line resembles an ACME deli on Saturday morning!!! Now to give report at shift change with a room full of visitors to boot!
I loathe bedside report. I like to do a quick round with the off-going nurse to check things, such as IVs or something that might be complicated or something that should be verified (such as a dopamine gtt going at 5mcg/kg/min) but other than that, I prefer report out of the room. Management has been saying that bedside report is MANDATORY but I have yet to see anyone following that rule lol. They say we don't have to say ALL of the details of the patient, but still. I prefer not to do it at the bedside lol!
- Apr 30, '12 by RockinChick66this is the thread i'm talking about.
- May 1, '12 by VespertinasQuote from SCruzRNThat sounds just beautiful.Hi!Great summary! Your description is pretty much how I have developed my bedside report routine. When bedside report was first rolled out we received education classes that detailed how to conduct report in this manner and gave us an opportunity to role play different scenarios. Some of the scenarios included difficult patients and/or difficult family members. Each year since we review the process. It has been evolutionary and we have done some fine tuning over the years. For the most part we are all used to it now and it is no big deal.It is important to learn how to discuss the difficult topics in front of and with the patient. For example if the patient is drug seeking and has a narcotic dependency this is no surprise to the patient. Why shouldn't we discuss this in front of them? If we don't they will continue to think they are fooling everyone. These are the very things we should be discussing with them and in front of them. Of course there are appropriate and inappropriate ways of doing so. One time we had a patient in the ICU who was married, but also had a girlfriend. Unfortunately the wife and girlfriend ended up coming in for a visit at the same time. Long story short things got ugly and security had to break things up. The girlfriend was instructed not to return. The stress of the situation affected the patient and was included in bedside report. The report went something like this,"Mr. Doe has been pretty anxious this afternoon. His wife and another female visitor engaged in an argument. The female visitor has been instructed not to return to the hospital. Mr. Doe agrees that this is a good idea. Our main goal for this evening is to provide a calm environment to prevent further anxiety to Mr. Doe."
- May 1, '12 by rnfostermomI agree with you COMPLETELY. We are in the process of transitioning to this on my unit and I am not enthusiastic. Like you, I believe that report is for the NURSE, not the PATIENT. It is my time to get the low down on the whole situation (including social issues, which are very common on my unit), ask questions, etc. The patient/family has the opportunity to be involved in the POC by being present during rounds (which we encourage) or asking questions at, well, just about any other time. Also, I always discuss the POC with each patient/family at the start of my shift and encourage questions.
While I do like going over lines and drips at the bedside, I see several problems with this development. For example, when a family member rudely accused me of not knowing "how to take care" of the patient when I asked a clarification question of the departing RN during bedside report. Also, the time involved when we are constantly getting lectured about "incidental overtime." I work nights and often have to give report to multiple nurses on day shift because of the staffing differences. Also, will nurses traipsing around the unit and getting interrupted with questions from patients and family and whatever else comes up x multiple patients reduce OT??Last edit by rnfostermom on May 1, '12
- May 1, '12 by notjustanurseTwo years ago I was hospitalized for 3 days with a complicated ankle fracture, surgical repair, and PT. I LOATHED bedside reporting. Everyday I would have to ask the nurses to take report in the hall because I was actually trying to rest at 7 a.m. I did NOT want to be a part of my report and couldn't have given a rip what was said. I may be in the minority, but I hated it. And, I hate it as a nurse. My unit is small and we frequently care for each other's patients so I like group report where we can at least get an overview of the patients on the floor.
- May 2, '12 by turnforthenurseRNQuote from notjustanurseThat is how a lot of us feel, too. There are patients who are still sleeping at 0645-0700 and I don't want to disturb them a bedside report (especially after I kept them up all night!) and neither does the on-coming nurse.Two years ago I was hospitalized for 3 days with a complicated ankle fracture, surgical repair, and PT. I LOATHED bedside reporting. Everyday I would have to ask the nurses to take report in the hall because I was actually trying to rest at 7 a.m. I did NOT want to be a part of my report and couldn't have given a rip what was said. I may be in the minority, but I hated it. And, I hate it as a nurse. My unit is small and we frequently care for each other's patients so I like group report where we can at least get an overview of the patients on the floor.