Bedside Report

I work @ a rural community hospital approx 15-20 beds. We recently implemented Bedside report on our med/surg unit & have encountered a few obstacles along the way & am hoping that someone could give me a few suggestions. 1). We have several same-day surgery patients that stay overnight & discharge in the AM. By the time the patients finally receive pain relief & just fall asleep - Night shift come in & we do bedside report. Patients get angry when we wake them up but I also understand that a fresh surgical requires close monitoring ie: dressing, IV's etc. When we do bedside report, it's not until 1/2 later that the oncoming shift then does their assessment & vitals. How are other hospitals handling night shift report. 2). In regards to staffing, we attempt to pair up the RN's with the same TC/CNA's so bedside report can be done together; however this is not always possible.

In addition, my shift starts @ 3pm and one of our TC's come in from 4p-12 to assist in the "overlapping" of pm & night shift. We then need to give her report & not to mention, the beginning of the shift is the busiest & we don't always have time to stop to give report. I'd be interested in hearing how other's handle this issue. The may seem minor - but it only take few coworkers to make it a major issue.