Behavioral health settings are quite different from other settings. I have experienced almost every change which has occurred for shift change report off. Unfortunately, on psych performing bedside reporting is nearly impossible. Our patients have an array of problems from psychosis to severe depression. I keep hearing this is a joint commission expectation ~ which I still have yet to find it on their website! We cannot do bedside reporting as other floors do, where all the patients are tucked nicely in their beds, waiting to be part of the *team* And yes, I am seeing this so called bedside reporting being done in day rooms, (what happened to the HIPPA laws???) We are never going to be like the other floors, so we need to stop acting as if we will fall into the conformity of a magnet standard, joint commission, and all the other regulated, *best practice* acts in nursing. Our care for patients in behavioral health has always been extremely individualized. We are not a one size fits all, it just does not work and yet our managers and directors *INSIST* that we follow this practice of bedside reporting, even though we are hardly ever at the bedside. Our patients are hearing other patient's issues, care plans
, medications histories, etc, etc ~ this is the most inappropriate approach I have ever witnessed in all my nursing years. We are violating every single law in one shift change, and no one seems to say anything at all about changing this practice! I am finished with being quiet about it. This approach of bedside reporting on a psych unit is so flawed, that I do not know where to begin with trying to switch gears, because everyone in management and otherwise are following a one size fits all approach. If anyone has any idea or practice which they managed to come up with that does NOT VIOLATE the patients, I would love to hear it!