Bedside Reporting starting Monday :((( - page 6

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

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    Many of my peers thought the bedside shift report would mean getting out late. What I found is bedside sift report reduces the stress at the beginning of my shift. The oncoming and off going nurse work together to resolve issues. My day starts out much better. The scripting takes time and practice. Learning to change the wordage when explaining the patients day. Example:
    thought- He was on the call bell every 5 minutes for pain med!
    verbalize He did not have very good pain control today. These are the things we tried help with the pain.
    Piglet08, NRSKarenRN, and BluegrassRN like this.

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    how about when you have 8-12 patients and have to give two different nurses report... seems time consuming and a hipaa violation if there is more than one patient to a room.. i'm sorry but pulling a curtain does not mean it is a sound proof wall..
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    Quote from melbe77
    how about when you have 8-12 patients and have to give two different nurses report... seems time consuming and a hipaa violation if there is more than one patient to a room.. i'm sorry but pulling a curtain does not mean it is a sound proof wall..
    Bedside report takes us less time than the old face-to-face-at-the-desk report.

    If we have more than one pt in a room, we just do a brief intro, check bands and IVFs, and ask the pt if they need anything at the moment. The full report then takes place at the desk.

    I typically have 5 pts I report off on in the morning, and give report to 3-5 nurses. Not a problem there. 8-12 pts seems like a lot to care for; but I don't see how bedside report would be longer than face to face report.
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    Quote from 2bTraumaRN2008
    Why do we need to check and recheck, and recheck PCA's and Heparin drips over and over again. These are already checked by 2 nurses when they are hung, bag changed, rates changed, etc. So why does the nurse I'm giving report to need to "check" it with me again when it has been checked throughout the day by 2 nurses?
    Because things can still get missed even on a double check. I was getting report for a pt w/a PCA, was handed a copy of the order and the pain documentation flowsheet and noticed that both nurses that had signed off on the order had missed that the order also included a continuous infusion rate. I caught it and we added it and clarified everything. What if a calculation was off on a Heparin drip?
    Also with dressings, it's one thing to hear from the offgoing nurse that the dressing is clean, dry and intact, then you see that it's soiled or even soaked. It's another to go into the room have the nurse show you what it looks like then you definitely know what's a change from the start of your shift instead of just the last time the offgoing nurse looked at it.
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    well, a little venting is okay. But it's probably better to approach this from a problem-solving viewpoint.

    For example, are you telling me there is NO WAY to resolve the blood glucose checking problem? Maybe the person passing the trays can be responsible for checking sugars? Or if that's not allowed in your facility, perhaps the offgoing nurses will need to be responsible for checking them before report.

    And I'm dealing with the same change at my workplace, just started a thread here about it, as a matter of fact. I don't much like it at this point. But I will learn how to make it work. I might even learn to appreciate whatever benefits it offers. Hang in there. The only thing that stays the same is that things change.


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