Bedside Reporting starting Monday :((( - page 4
by 2bTraumaRN2008 10,959 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
- 5Dec 6, '11 by nyrn5125My facility did it the way they wanted for maybe a few days. They wanted it done on 8 pt's. It was a nightmare and we changed it. The pt's do not understand the nurses job and what it entails. They cannot help but interrupt for water, toileting,want to go to bed/get up now and here you are the maid to do it all while you have the chart in the room and trying to focus. What other job do you know that does this to their staff?
It was too much and lots of info was lost due to interruptions by the patient and feeling too pressured. Like the need for an MRCP was not consented by the family and RN was not told because you cannot concentrate. We changed it so we give report at the desk fully and then check IV pumps/tubing/meet pt quickly. If they need something at least it isn't holding up as much for the off going rn because report is done.
- 0Dec 6, '11 by Jenni811we've been doing bedside reporting for along time. I persoonally don't have an issue with it. Takes maybe 30-45 minutes to get report.
i get report from previous RN and report off to my CNA the info they need to know. While im getting report, my CNA is getting blood pressures and finger sticks from those who need it.
Patient's order off their own menu whenever they want. But they can't order until 7am. this gives us time to get their AM chem stick. Food doesn't come until 0730 so really, we have until then and that is assuming patient orders right at 7am. They almost never do. Kitchen puts on call light when they deliver food, this lets us know food is there so if they need something done (i.e. finger stick) we can get in there before they start eating.
As for giving personal phone to patient, we've talked about it on our unit, but it would be CHAOS!!!! that i don't agree with. I don't think my patients should be able to call my phone. That is for employees to reach me at. if a patient needs me, they can use the call light. Even our manager agreed to this and basically told upper management "Our unit will not be participating in this, and i'm ok with my nurses refusing to participate."
Great manager we have She really knows what her nurses can and cannot handle and has a good head on her shoulders about what would cause Chaos. She thought bedside reporting would be ok, but the phone thing....not so much. And she was right, bedside reporting turned out just fine. Doesn't mean i have to get there earlier, but i do always end up punching out about 10-15 minutes late.
- 1Dec 6, '11 by cardiacmadelineI have tried to have a positive attitude about bedside report, but I hate it! I waste time looking for the offgoing nurse, and then I am told what I already know because I just read the chart! Now, if something is going on with the patient like an oozing groin site, I have no problem bringing the oncoming nurse in the room and showing them the site. I did that before bs report came along. Otherwise I really dislike it, but I am really trying not to have a negative attitude about it.
- 4Dec 6, '11 by sweet~revengeI can't believe how many people here are in favor of bedside report. It's obviously something thought up by a person who's never touched a real patient. I guess for ICU it's ok, but I work nights on a med tele floor with a lot of psych patients and legal holds. The rest of our patients are usually totals on isolation and/or frequent fliers with q3h pain meds. We have had bedside report around for about 2 years now. Here is what we are expected to do for bedside report:
First, we are to go around 30 minutes before end of shift and wake patients up to tell them we're changing shifts and ask if they need anything, any questions, etc. During bedside report, we have to take our med cart and the patient's chart and go into each room. There we are expected to check patient wristbands, date of birth, verify allergies, give total head to toe report, check lines, iv and tubing dates, IVF, and check meds and orders against the chart. This process is repeated for each one of 6-8 patients.
So to anyone who doesn't believe it, yes it takes us at least an hour to do bedside report. Where I work, some floors are more compliant about it than others. The nurses on my floor have taken a stand against it and we pretty much just do face to face report at the nursing station. It's absurd to stand in the room with an agitated patient who's already ****** off about being placed on a legal hold and start talking about their suicide attempt, violent history, psychotic delusions, etc etc. I won't do it. As for total care patients, it already takes forever just to give report let alone do a total head to toe inside the room. Not to mention the things that get missed when you're trying to juggle a chart and a med cart while getting interrupted by a patient every 2 minutes. On top of that, when I've already spent the last 12 hours running around, I really don't want to spend another hour walking from room to room. I deserve to sit down for once thank you very much.
Good luck to you OP. The best thing I can suggest is talk to management and tell them the nurses aren't happy about this and see if you can work out some compromise.
- 4Dec 6, '11 by GuttercatQuote 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'm all for making the patient feel welcomed and cared for. But this scripting nonsense...
We're being turned into circus monkeys.
Nursing: like the agriculture industry, I can plausibly see a time where not very many are "willing to do this kind of work."
Fwiw though, I do like the concept of bedside reporting, but in a private room only. In a shared room this reporting style is absurd. I can also see where some people are having trouble getting out of the room, i.e. when a patient needs help with this or that.
- 1Dec 7, '11 by psu_213Quote from 2bTraumaRN2008When we started bedside report, I don't think I ever got out any later that when we were doing nurses station report. Looking at this and you other posts, you are so against even trying. Are you like this will all changes...just complain to no end before the change is made, and then swear that you will never go along with it because you under the perception that it will affect you negatively? If we didn't make any changes unless every person was 100% behind it we would never make changes in nursing (or society in general...). At least give it a change...and I mean more than one day. If, after a few weeks, it is generally not going well then you can complain about it. Until then, try it!I generally get report done in 25 minutes now, so I am leaving at 1910-1915. By the sounds of it, I will not be getting out until 2000 or later. So, instead of getting home at approx. 2015 or so, I'll just be leaving work, or may have just left.
- 0Dec 7, '11 by psu_213Quote from sweet~revengeWhere I worked the bedside shift report idea was spearheaded by 2 nurses (not managers, APNs, etc...."regular" nurses on the unit) who worked on the cardiothoracic surgery stepdown unit, where there was a 5-7 pt load on nights, 4-5 on days. After all their work on the project, their unit implemented it, they got to present their results at a national conference, and the idea was implemented through the hospital (a 1200 bed facility). These 2 nurses helped to train more nurses and those nurses then introduced to all the other units of the hospital. The also realized it would only worked if all the staff was educated about bedside report before it was implemented. You could not just say "start doing this on Monday." Every nurse was educated in how to do it to prevent pts from dominating the nurses' time, how to properly talk to pts and handle their requests (such as 'I need water right now!'), and the proper etiquette for the oncoming and offgoing nurse (so that bedside report didn't take any longer than the old style of report). Despite reservations from the rest of the staff, including myself, bedside report was a big success. When I left this job, my new hospital would not implement bedside report. Let's just say that it was obvious that the quality of information passed on from shift to shift was way lower than it had been with bedside report. There is no doubt in my mind that bedside report is superior to traditional report if bedside report is done right, including proper education of staff before implementation of bedside report. The group on here is well educated and, overall, a group of good nurses. I "can't believe" that there aren't more of these nurses who don't see the benefit of bedside report. Look beyond PG scores!I can't believe how many people here are in favor of bedside report. It's obviously something thought up by a person who's never touched a real patient. I guess for ICU it's ok, but I work nights on a med tele floor with a lot of psych patients and legal holds. The rest of our patients are usually totals on isolation and/or frequent fliers with q3h pain meds. We have had bedside report around for about 2 years now.
- 2Dec 8, '11 by anotheroneanother terrible idea bs report is..... what about reporting hiv status, hep c, the visitors WILL NOT LEAVE they already dont leave for other things when they should. ohh that is right, i should call security/supervisor and waste MORE TIME waiting for them. what about reporting, "patient frequent flyer , yells and screams if dilaudid 4mg is not brought in q 1 hr", " pt most likely has cancer, doesn't know it yet, "pt non compliant, "family calls every 20mins", pt can use the bathroom but insists on bedpan, holding urinal" other nonsence. do i have to waste more of my time and give the nurse the "real report" away from the patient and then a scripted one infront of the patient? both nurses willb e written up for not getting the bath done right there , they were just after all standing there, two of them. ........................
- 0Dec 8, '11 by JBudd GuideWe discuss the pt and report at the desk first, then just go around and intro the next nurse to the pt. Can see everything you need to see in just a few minutes, and the oncoming nurse is already primed for what to expect in the room.
Was pretty glad we did bedside last month, the off going nurse left a total mess in every room. The minute we walked in he started grabbing old/dirty linens and trash and cleaning up the room.