Bedside handoff report on mother/baby unit - Page 3

I do agree with the fact that it does mess with the incoming nurse's organization and thought process. Sometimes the patients, when we're giving report in their rooms, ask for things they need right away which can take some time. We used to do report one at a time where the nurse leaving would give report to all of the nurses in the report room. If it was your patient they were reporting on, you'd obviously pay the most attention, while the other nurses would organize their report sheets etc. Now, we do bedside or individual... it does take up time finding the nurse to give/receive report but ironically enough, it's been quicker, at least for our unit. Most of the time, unless it's a higher acuity patient and a report that takes longer, they're out of there before they need to swipe out.

That's pretty much the most you can do... once the mom is exhausted and wants the baby to go to the nursery, she's made up her mind. Just like mom's who want to bottle feed... you can try to tell them all the pros and reasons why to BF or room-in, but they are going to decide what they want to do anyway.

I recently had a BF only mom who wanted her baby in the nursery between every single feeding. It was frustrating, because the baby wanted to start cluster feeding, which meant going back and forth between nursery and room. I told the mom that it's probably easier to keep baby next to you, so that you can pick-up on early hunger cues; if the baby starts acting hungry in the nursery we are going to bring him back anyway, so he might as well be next to you sleeping. She still wanted the baby to go to the nursery anyway.

I've had patients like that as well and you're right, it's frustrating. I just end up charting that I've educated mom and she understands but is requesting infant to nursery. It's all we can do, you're right.