Shift change and visitation in ICU/stepdown - page 3

Hi everyone, I'm currently looking at various policies re: visitation in the ICU and it got me thinking about issues with shift change. At our 10-bed ICU/stepdown, we restrict visitors from... Read More

  1. Visit  MLMRN1120} profile page
    2
    Our unit is also locked. We are the only ICU in the hospital that has 22 hour visiting. I do believe in family centered care, but we have had many issues with our visiting policy. As we do bedside report, it sometimes becomes an issue that the visitors in the room are not immediate family members and we ask people to leave (politely) as many things said during report are sensitive/private.
    One of the biggest problems we have is people who refuse to leave during this report hour. Our unit is very large and by the time security assists the visitors out, it will be like 730. Our 'no visiting' time is 7-8 am and pm. In these cases, the visitors finally leave but are then chomping at the bit to be let back in at exactly 8pm, while the oncoming rn is trying to rush in and do their assessment! I don't mind this except when report is delayed by the visitors overstaying their welcome.
    The response we get from a lot of people when asked to leave is 'we can't stay for this hour? That's so stupid' yep. Gotta love it.
    hikernurse and opossum like this.
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  3. Visit  ♪♫ in my ♥} profile page
    1
    When my kid was in the NICU, they gave us the boot 3x/day.

    Several years later, I did my preceptorship in that same NICU and they no longer required families to leave.

    While I understand that it makes life a little harder for the nurses (believe me, I'd love to give some ED families the boot at times), I think the benefit for the family outweighs the issues for the staff.
    umcRN likes this.
  4. Visit  BrandonB779} profile page
    1
    We have started doing bedside shift change report in a 16 bed MICU. People have done it for a while prior to it getting implemented and required, others have the "old habits die hard" feeling, etc. MedScape just put out an article from research saying it has improved patient/staff relations, and also allowed for more thorough report from staff members because you may see something you forget if you were away from the room. It's difficult because many of our patients are usually intubated/sedated; and family not always present. But yet when they are present and can contribute to the report or understand things a bit better, it does seem to create a better whole picture amongst all individuals.
    opossum likes this.
  5. Visit  opossum} profile page
    1
    Quote from umcRN
    Interesting. Yes the parents sometimes hover while doing the assessment, but hey it's their newborn/toddler/child and they have that right. Visitors don't typically interfere with the rest of my day though. Yes there is always that one​ family that sucks the life out of you but there always will be.
    That's true, there always will be "those" families that impede your workflow. Then again, I really would expect parents to hover around their children...it's the adult ICU patient's sister's boyfriend's cousin's dog's brother-in-law bombarding me with questions that really irks me and sets a bad tone for the shift.

    I guess I just need to get out of this negative mindset I have about visitors in general.

    And, of course, giving a thorough bedside report without violating HIPAA, etc.
    BrandonB779 likes this.
  6. Visit  kathconserv} profile page
    1
    Columbia presbyterian has zero visitors from 6-8 on both shifts and no admissions as well!
    hikernurse likes this.
  7. Visit  galhoya} profile page
    0
    Quote from opossum

    That's true, there always will be "those" families that impede your workflow. Then again, I really would expect parents to hover around their children...it's the adult ICU patient's sister's boyfriend's cousin's dog's brother-in-law bombarding me with questions that really irks me and sets a bad tone for the shift.

    I guess I just need to get out of this negative mindset I have about visitors in general.

    And, of course, giving a thorough bedside report without violating HIPAA, etc.
    I agree. Visitors are tough. Another nurse said the best patients are vented, sedated, and orphaned. Haha


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