Bedside Reporting

Specialties Med-Surg

Published

I work for a hospital here in Wyoming and we are about to switch to bedside reporting. So far, the process of the entire switch has not been enjoyable. Does anyone else do bedside reporting and can you help me better transition to the stressful change! :) thanks!!

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Specializes in Med/Surg,Cardiac.

I dislike it. Have you searched for similar threads? I know I've read a lot of threads about it. There are benefits but overall I prefer getting report then making quick rounds with the other nurse to do introductions and be sure everything is atleast in decent working order.

~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~

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I dislike it. Have you searched for similar threads? I know I've read a lot of threads about it. There are benefits but overall I prefer getting report then making quick rounds with the other nurse to do introductions and be sure everything is atleast in decent working order.

~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~

yes, i so agree.

At the bedside, you can't much say stuff like, "The patient's daughter is very upset, but, if you do this/this/this, she'll be okay, but, don't do "X" cuz that freaks her right out."

and stuff like that.

You also can't ask things like, "Are you kidding me? Who ordered THAT?"

also, these kind of reports take way longer, imo. Seems like about 25% of the patients will have some kind of request while you are trying to give report (yes, even if you JUST made last rounds asking if anyone needs anything...)

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Specializes in med-surg.

Time consuming, but this seems to be to model that everyone is switching to. What I do is give them the down and dirty at the nurses station and the sweet fluffy, 'This is so and so who had x surgery yesterday' in the room.

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Thank you everyone! It starts in the morning. I'm kinda not looking forward to it! I'm sure it will just be a transition process!

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Specializes in ER, progressive care.

I thought bedside reporting was a JCAHO requirement?

No one likes at my hospital. No one really does report at the bedside, either. It is too time-consuming. I would much rather give report at the nurse's station then round with the oncoming nurse to introduce them to the patient and just do a quick eyeball check.

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Specializes in MED/SURG.

I like it because It helps the pt be more involved in their care and reiterates the plan of care for them.I was a pt once and had my nurses done bedside report I would not have been so confused as to why one nurses plan of care was so opposite from the other.It was frustrating because I had no idea which nurses plan was right???I was on so many pain meds that it made me uneasy to ask the questions I needed to.

It is rough being a pt.You are vulnerable, wearing, next to nothing, and you feel like people are doing things at record speed and you have no time or inkling to ask a question. Yuk!

Pt's getting to hear nurses report off gives the pt a sense that we know what is going on and pt' s end up trusting and respecting us more.Also pt's hearing report given over and over really understand what is going on,can ask questions, and tend to be less anxious.

I also like it because I don't want to have a preconceived notion of what a pt or family is like through someone else.I want to see with my own eyes.If there is a sensitive topic like a new CA DX and the pt does not know yet then of course you would discuss this outside of the room.

If you develop a streamline system of giving report by just giving essential info.your report should take just a couple of minutes. Everyhting else can be found in the chart.

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Help me get into medsurg please, im a new grad

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We recently changed to bedside reporting, here is my experience and advice:

Before bedside reporting, my floor would get report as a group in a room, report is meant to go for 30mins, but would always go way over because some people treated report time as a venting session.

And now..

At shift change we are supposed to have a 2min max group "huddle" where the charge nurse gives the oncoming shift a very quick report on all patients ie: "bed 1 is John smith, no changes continue treatment. Bed 2 is Jane Smith, isolated for MRSA plan for discharge tomorrow". Then we break off and get bedside report. This whole process is supposed to take 30mins.

During bedside report we are supposed to go into the patients room, introduce the oncoming nurse then proceed with an SBAR format handover. During this time the oncoming nurse must also check any IV treatments, wound dressings etc and also check patients charts to make sure everything from the previous shift has been completed.

Cons: -the 2min huddle goes WAY over time! Often 15mins!

-Now that the huddle goes over time the bedside report is often rushed and not done properly.

-Patients/families often interrupt report even when you explain to them the importance of the process.

-Because we are on the floor during report, admissions come, Drs want to talk to us etc etc.

-The charge nurse does not get a proper report like they used to on all the patients.

Pros:

-In theory bedside report works well. The patients/families do enjoy meeting the new nurse and hearing the previous nurse discuss what they did for the patient that day, AND the plan for the oncoming nurse. It keeps everyone on the same page so to speak.

But the interruptions make it hard. And no one ever gets out on time.

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My advice:

-attempt to shorten the huddle if you find that's eating away at your time!

-politely ask the previous nurse to just give SBAR facts and relevant information during report. I know sometimes we want to vent about our day but the lengthy stories with useless information only make my shift harder as you put me behind on my work.

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Specializes in Medical Surgical & Nursing Manaagement.

The idea of bedside report is three fold.........One to get patient participation in their plan of care, secondly for the nurses to validate the report they are getting/giving and finally for the patient to know who is going to care for them. The little sidebar comments, i.e., the patient's daughter..... can be reserved for when you exist the room. Put yourself in the place of the patient, wouldn't you want to participate in your plan of care and know what's going on, wouldn't you want to know who's taking care of you and for the nurses, let me ask you this.........how many times have you been left with an infiltrated IV, or an empty bag of fluid. Give it a chance........I know change is difficult but don't resist it, you and the patient will gain from the experience.

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