Bedside report/hand off

  1. 0
    We're starting something new... bedside report/hand off. Benefits? Anyone in here require to do the same at their facility? How do you like it???

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  2. 27 Comments...

  3. 0
    I've worked at places that have used that. A big plus, is that if anything is messed up, you catch it before the last shift leaves. The downside was being sure to be quiet enough so nobody else could hear....
  4. 0
    yeah, it's required. no one does it though. as a new grad, I think i'd benefit from it. On the other hand, some nurses who do actually want to do it, try to do their whole assessment during the hand-off, holding up the out-going nurse. I like the theory but no one seems to like doing it.
  5. 3
    We do it....not sure why nurse are so resistant to change, but I like it because you can catch things the other shift may try to stick you with. Also, I think it's a great way of seeing your patients...introduce yourself and let them know you will be back soon.
    szeles23, nola1202, and tokmom like this.
  6. 0
    Have done it in the past and like it. We are getting it up and going at my new facility. The downside is the nurse might try to do an assessment, but that should be known ahead of time that it isn't done at that time.
  7. 1
    We do it. We do a little quick outside the room report for any behind the scenes info. Like if the family has been hard to deal with or this or that is going on. Then we hand off in the room introducing the new nurse and saying anything the patient would like the new nurse to know or plans of care they are active in and stuff.

    For my Sr. Practicum you just filled out these sheets and put them in a hanging file thing if they wanted to come ask you something before shift end they could, but most didn't. I didn't like that at all. I like interacting with the new nurse about the patient.

    The cons I think are sometimes the oncoming nurse doesn't get that we are passing off important information. They want the entire health history, each and every lab normal or not. Things that they can go look up when they look up meds. I will tell you whats coming up in the next hour or anything important in that change of shift.

    Our boss has finally said if it can be looked up in the computer they don't need to know it in handoff if it's not emergent because some nurses were trying to take advantage of it and not wanting to let the other nurse leave unless they had a 10 page report to give.
    Skeletor likes this.
  8. 0
    How do you catch the "wrongs/mistakes" with bedside report when you haven't looked over orders and the chart??
  9. 0
    I like introducing pt's and maybe turning/checking total pt's. But I am totally opposed to bedside reporting. Pt's interupt or may be confused and wonder what is going on, and some pt's do not want to hear over and over what is wrong. (The ones here for 2 weeks) Some pt's have not even been told their diagnosis yet. Not to mention the high anxiety pt's.
    We would need to change our way of speaking so the pt is not confused or takes what we say as wrong.
    Bedside reporting sounds good in theory only. IMHO.
  10. 1
    Quote from StrwbryblndRN
    I like introducing pt's and maybe turning/checking total pt's. But I am totally opposed to bedside reporting. Pt's interupt or may be confused and wonder what is going on, and some pt's do not want to hear over and over what is wrong. (The ones here for 2 weeks) Some pt's have not even been told their diagnosis yet. Not to mention the high anxiety pt's.
    We would need to change our way of speaking so the pt is not confused or takes what we say as wrong.
    Bedside reporting sounds good in theory only. IMHO.
    In my area that isn't really an issue (the confusion or not knowing their condition), but when the patient has been there a while then we don't go through the whole thing again if the nurse has taken care of the patient before, we just state anything new going on. Most of it is done right before entering the room. It works really well for us.
    tokmom likes this.
  11. 0
    We have also started bedside reporting inthe ED approx 1 week ago today, I thin it's agreat chance to see your patient, correct anything that may need a 2 person assist (i.e. CODE BROWN), and quickly do a visual assessment for any emergent or urgent needs. Also the Slackers have to own up to their work or their lack of! We call our Program STEPPS


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