Is it okay to tape record on my phone my patient's report?

Nursing Students General Students

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Okay, so I'm having trouble writing all the details and absorbing the information during the change-of-shift report. The nurses speaks TOO FAST like they assume I know the patient already. I always rush to write everything and miss details.

I'm considering resolving this issue by taping my specific patient's report on the "voice recorder" function on my Android smartphone. I would then plug in my earphones and play it back in case I think I miss something. Since nurses seem to somehow take 2-5 minutes on one report for a patient I think I will be alright listening it back with my voice recorder without wasting too much time.

Do you think this is an okay resolve for my problem? Am I breaking any HIPAA rules? I will definitely trash the voice recording after the clinical.

I need some advice on this. I don't know what else to do because I'm having trouble writing everything down while listening to what they are saying. And, it could be really disorganized the way some of them give report.

Specializes in Emergency, Telemetry, Transplant.
Such as "Now what's the number for the blood bank again?" 37 times in one shift.

Even though I liked the post…this is totally me :sorry: Then again, I realize this is a dumb question.

When in doubt, the extension for any department is always 0.

Specializes in L&D, infusion, urology.

Like stated, it's not okay to record a report.

Learning how to give and receive report is a big skill that takes time. Ask the nurse you're shadowing for tips, and if they have their own brain sheet, ask if they'll give you a copy. I got a few from different nurses, and took them home and made my own version by the end. It really helped! You find what works for you, and it DOES take time. It's a lot of info all coming at you at once, but with repetition, you'll get it. :)

Specializes in Neuro Intensive Care.

Absolutely not. If you have questions, just ask

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Where do you put the tapes?

:roflmao:...you're right I have no tapes in my phone...:roflmao:

My bad! :D

Specializes in Pediatric Hematology/Oncology.

Nope, not at all okay.

You just have to practice at going with the flow during report. Critical thinking requires you to deem what crucial info you need to know about the pt and active listening helps you get all that. Your brain sheet should already be pre-filled out with sections to keep you cognizant of what it is that you're missing (i.e. if you seem to always miss blood glucose readings, put "*BG*:" on your brain sheet).

NOOOOOO

HIPAA violation first and foremost.

Second ... "suck it up buttercup"and practice NOW.

Taking or giving report is not magical ability granted once you become an RN. So learn how to at least LISTEN and take notes.

Once you learn what to listen for ...

You'll learn what to give during report. If you can't listen to key facts or understand report then giving report is probably also an issue.

I think after five pages of responses, the OP now has her answer ;)

Specializes in critical care.

OP, I feel your pain. If can get overwhelming, and as a student, not only does every individual detail feel crucial, but what probably is every day common "speak" for the nurse giving report is still very new for you.

Do the nurses at your facility use a report/brain sheet? If they do, ask if you can get a copy. If they don't, maybe make your own or comb allnurses and the interwebs for one. I actually just made my own last night in addition to a shift organizer (a blank table with even hours written in the top row and space for room numbers in the left column).

If you use the same sheet every time, you'll get quicker at filling it out with details. As you hear the terminology over and over again, you'll get faster at writing it and maybe find yourself condensing into acronyms. It's also completely okay to ask the nurse giving report to slow down or repeat things. As long as you're making an effort to keep up and you're not asking for every individual word to be repeated, they won't fault you for needing to pause for s second. It happens!

All that said - ITS ALL IN THE COMPUTER. At least, it sure as heck better be because if it's not charted, it doesn't exist and didn't happen.

Specializes in Critical Care, Transplant..

No, I would never HIPPA would have a field day.

Specializes in CTICU.

Nope. All the way nope.

Sent from my iPhone using allnurses

Reiterated what everyone else said. I ALWAYS ask if reporting nurse is,going too fast or speaking too softly. What also helps is where I precept nurses are required to type out hand-off communication in the computer on their patients as well as give report

PS.

Most facilities,use ISBARR reporting. This should have been presented,to you like second class of foundations 1

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