Bedside Reporting starting Monday :((( - page 3
by 2bTraumaRN2008 10,927 Views | 54 Comments
So, we are starting this on Monday, and the "general" census is that most aren't happy and lots aren't even doing it at my facility. I'm not sure what to expect, but I don't think I like what I'm hearing based on feedback... Read More
- 4Dec 5, '11 by misschiatiaI wonder if staff had any input into this decision. Were you given an opportunity, as a team, to participate in the change? I'll also add that I was very grateful for walking rounds one morning I had report with the offgoing night nurse. As we entered the patient room she was telling me that patient had fallen overnight but was sleeping now. Patient was not sleeping but unresponsive. Sent immediately to the emergency room, thank god. But if I did not go in at the beginning of shift, it may have been another 45 minutes while I completed "desk" report. Patient had brain bleed. Very glad for walking rounds that day.
- 0Dec 5, '11 by carolmaccas66Why would it take an hour to give a report? You need to get people to speed things up a bit! I like bedside handovers cos the patient can clarify things while ur there but you have to take charge & not let them manipulate the conversation.
I will never, ever go back to the days where I got up at 4.45am to find a parking space close to work, & to get early handover. It nearly killed me working too many late/early shifts & I was really ill for over a month afterwards. I will not do it anymore.
You are going to wear yourself down. I couldn't get up at 3.30am, that is sick! And I don't think the money is worth it either.
Can you do agency work or find another position?
- 3Dec 5, '11 by NicuGalI just have to respond to the comment about checking drips, etc that have already been checked by 2 other RN's....you should be doing that anyways! I can't tell you how many times we have found errors on not only drips but with our TPN ie glucose concentrations, etc.
If it is taking you past your going home time, then management and the staff need to figure it out. Like someone else said, you tend to start assigning the same assignment to the next nurse. There are times when we have an admit, have to do that, finish up what we started so the next person picks up, and give report on 3 other patients to 3 different nurses. It happens.
- 1Dec 5, '11 by vashteeThe hospital I work in says they will be starting bedside report soon, and I am also dreading it. Our floor is chronically short on CNAs, and most of my patients need stuff done the second I walk in the room (bathroom, water, turning, changing). Are we supposed to ignore the 90 year olds who have to go to the bathroom (and take forever to do it) when we are standing right there?
Also, we have shared rooms... no privacy. Honestly, I will probably end up doing most of my report in the hallway, and then just introduce the next shift's nurse to the patient at bedside.
- 4Dec 5, '11 by brandy1017It's the latest gimmick to raise press ganey scores. We are told we are even supposed to wake the poor patients up and even do it for the confused and out of it patients and we are supposed to say everything in front of them! Really, give me a break, so in the end you end up on potty patrol and get a brief very sketchy report and it takes longer. Ocassionally you get an alert, oriented person who is interested and asks questions and of course you can check IV's etc make sure everythings ok, but really it doesn't make sense in many situations. Am I really supposed to say patient is drug seeking, confused, wandering, etc.
Again alot of people only do it when management's around, but they have spies you know, could it be the HUC or pet staff person or someone on a house council who will report if you don't do it their satisfaction? Most do a report first and then a meet and greet with the patients, but that isn't acceptable to management, even though that would make the most sense.
Just the latest gimmick that's making the rounds at the hospitals these days! Oh and the cards that are sent to the patients to raise press ganey scores!
- 0Dec 6, '11 by suannaWhat was your previous report system? I'm OK with any face-to-face report that is in the area of the patients so you can do a quick look-in with report. Bedside can be problematic when you have information to pass on that isn't appropriate for the patient to hear like- "I paged Dr. so-and-so twice to report the low hgb but I can't get him to call me back" . The problem needs to be solved but telling the patient his managing physician is more intrested in his golf game than his patients labs is just begging for trouble. The problem with "taped report" is there is no way to clairify information. I worked in a hospital that "taped" report, and nurses always got out on time, usually by skipping over a lot of vital information that needed reviewed. Back room report can be OK if there is a chance for a walkabout with the reporting nurse for IV rounds and introduction to the patients. Let us know how it is going.
- 3Dec 6, '11 by Time4dilaudidyetI work for a large healthcare provider in the clearwater florida area, we've been doing bedside reporting for the last few months. Our hospital told us exactly what to say it to the patients when introducing them to the oncoming nurse. For example, "Hello Ms. Smith, this is Sherry, she will be your new nurse today and will be providing excellent patient care for you today." And after bedside report is finished, you must say, "Ms. Smith, thank you for allowing me to care for you last night." You may think I'm kidding, but I'm being very serious about this. To top that off, there are patient care leaders that stand outside the door listening to your report, and will scold you for not following the "script". Our Press Ganey scores are high, the highest of all the hospitals in our company. A previous poster is correct, its all about those Press Ganey scores.....
- 4Dec 6, '11 by brandy1017Quote from Time4dilaudidyetI work for a large healthcare provider in the clearwater florida area, we've been doing bedside reporting for the last few months. Our hospital told us exactly what to say it to the patients when introducing them to the oncoming nurse. For example, "Hello Ms. Smith, this is Sherry, she will be your new nurse today and will be providing excellent patient care for you today." And after bedside report is finished, you must say, "Ms. Smith, thank you for allowing me to care for you last night." You may think I'm kidding, but I'm being very serious about this. To top that off, there are patient care leaders that stand outside the door listening to your report, and will scold you for not following the "script". Our Press Ganey scores are high, the highest of all the hospitals in our company. A previous poster is correct, its all about those Press Ganey scores.....
I hate all this scripting and micromanagement and telling us what to say and do with the patients. What happened to being an educated "professional" RN making life and death decisions and responsibility to keep our patients safe and stable, yet we are reduced to glorified puppets or stepford nurses! It is pathetic and downright disrespectful! Next they'll be having us stand on our heads and do cartwheels!
Can you imagine the hospital forcing their doctors and pharmacists to play along with the script. Somehow I just can't see it happening! But nurses we can tell them what to do and say and think! Then hassle them with the big brother computer, why were you a minute late or early with that med, why didn't you scan this, and on and on!
Also I find it hard to concentrate standing there trying to write things down, doing potty patrol and waitressing while getting a sketchy report and nothing to write on ie no desk. At that rate, why even bother writing anything down, just wing it and try to figure out the patients on your own which in the end that's what you'll have to do anyway!