Bedside Report

[nynursey_]

This week, the instutition in which I work will be rolling out bedside report, a change that will largely impact nursing care (I'll decline to comment whether positively or negatively--that's the purpose of this post).

So I ask you all this: bedside report; friend or foe?

Discuss!

[registerednutrn, BSN, RN]

We do a kind of bedside report meaning we given report at the nurses station but then go to each room and see the patient look at incisions foleys IV pumps ect. We talk with the patient and the off going nurse will meet any needs the patient may have. Meaning pain meds nausea meds ect. Makes for a longer report but must help with press gainey as we are consistently 92 to 99%.

[canigraduate]

I've done it both ways and I like bedside report.

Pros:

1) Accountability between shifts

2) Patient involvement and increased compliance (HUGE benefit)

3) Catching small problems before they become big problems

4) I can get my assessment done quickly on the last patient I get report on and have a jump start on my day (HUGE benefit)

5) Having a face to go with the chart data helps me keep my patient information separate

6) A great way to catch miscommunications and keep them from blowing up into incidents

Cons:

1) HIPAA concerns

2) There is always that one nurse who tries to do all her assessments during report, which I HATE. It's usually only a problem ONCE, though.

3) Waking the patient up - I don't set out to do it, but they often wake up when I'm checking the pumps or if I have a squeaky marker and I'm updating the board, or I'm checking a wound vac dressing.

4) The previous nurse didn't do a last round before report and now I have to fix all those problems - i.e. leaking/infiltrated IV that has obviously been bad for hours, pain needs that weren't addressed, etc. (Although this may be a pro, since now I know early and can knock it out.)

5) Huffy visitors who don't want to step out.

6) It takes approximately 5 times as long as a quick verbal SBAR report.

[dinah77, ADN]

It can be good, but I run into problems with some nurses who seem to have no common sense about it.

I work NOC, and I end up being the guardian who says "no, we are going to do most of report @ the desk and we will pop in and say hi IF the pt is awake"

I'm always shocked at how many evening shift nurses barge in to a pt's room and insist on doing report fully when the pt is sleeping

Overall, it is a good thing, but be on the lookout for co-workers who may be like the ones I mentioned

[dudette10, MSN, RN]

I'm guessing a "FitBit" type of bracelet that vibrates and buzzes every time a patient demands something. And a touch screen with a menu of available PRN's, snacks, and customizeable meals for the patient to order from. And a 15-minute-delivery-or-the-product-is-free guarantee. How will we pay for this, you ask? The nursing staff will be charged rent for the break room, chairs, computer screens, and parking space.

The customizable menus are already in some places...like mine. When dietary just sent the trays up, people ate what they received. Since it was implemented, I do spend more time on food-related requests, education about using the system, and trying to coordinate blood glucose readings with when the pts choose to eat. The only people who have less work are the CNAs who no longer have to pass trays.

[anon456, BSN, RN]

We do most of the report privately, then introduce ourselves to the patients together and check drips. PICU and stepdown complex kids are too complicated to do an entire bedside report with family present. We do invite families to participate in doctor rounds, which happen at the beginning of each shift in PICU and once per day in stepdown.

[DeeAngel]

Like that will keep them from being stolen in the first place! Patients will steal them, figure out they can't make them work and then throw them away. They are still going to all grow legs and walk out of the hospital just like all the new fans we had in each patient room did. Out of 48 I think 2 are left. These are fans 12 inches across and 3 feet high, not small, yet they were nearly all stolen. Every room in the hospital had one so it's not like others floors had to steal them. God administration is dumb with all their faux feel good, buzz word gimmicks.

[Mesmerize]

I absolutely love bedside reporting! The patient is involved, important information is less likely to be missed, pt can clarify information if it was miscommunicated. Both nurses are looking at the computer orders, meds, I&Os , and make sure everything is done and signed off!!! This is my favorite part, I hate to waste time calling the nurse, waking her up and asking if pt received am meds, had labs drawn, or any other orders that were not signed off! There are a few things that cannot be said at the bedside, so we communicate those once we leave pt's room!

[Surprised1, MSN, RN]

I like bedside report in theory, for the reasons previously mentioned. And I experience the same downfalls previously mentioned, as well as the chatty RNs who spend an extra 10-15 minutes of MY time joking and gabbing with patients and families. Then they get offended when I walk out and start preparing for my shift? I would rather spend that time doing something productive. I also get extremely irritated by the RNs who want to rearrange the room, write on the white board, and otherwise waste report time. This puts me in the position of waiting until they're finished, or giving them a report that they neither listen to nor write down. Then they want me to repeat everything. Arghh!!

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[sistrmoon, BSN, RN]

We do a kind of bedside report meaning we given report at the nurses station but then go to each room and see the patient look at incisions foleys IV pumps ect. We talk with the patient and the off going nurse will meet any needs the patient may have. Meaning pain meds nausea meds ect. Makes for a longer report but must help with press gainey as we are consistently 92 to 99%.

Yeah that's bedside rounding at shift change. We already do that. Apparently actual report at the bedside is what has bumped the scores on the few floors that have done it at our facility.

[sistrmoon, BSN, RN]

I like bedside report in theory, for the reasons previously mentioned. And I experience the same downfalls previously mentioned, as well as the chatty RNs who spend an extra 10-15 minutes of MY time joking and gabbing with patients and families. Then they get offended when I walk out and start preparing for my shift? I would rather spend that time doing something productive. I also get extremely irritated by the RNs who want to rearrange the room, write on the white board, and otherwise waste report time. This puts me in the position of waiting until they're finished, or giving them a report that they neither listen to nor write down. Then they want me to repeat everything. Arghh!!

Sent from my iPhone using allnurses

Our process includes changing the white board info. They say it should take 5 minutes per patient for the whole report. I'm doubtful.

[canigraduate]

You have to have your &hit together to be able to give good, quick, bedside report. I usually do it with SBAR in hand. I can do six patients in less than thirty minutes if the oncoming RNs are cooperative and I only have to give report to three nurses or less. This includes updating the white board (which I often do when the assignment goes out rather than wait until report), checking lines/wounds/drains, telling the sensitive stuff outside the room, a chart check, the whole shebang.

If I have to give report to multiple nurses, most of my time is wasted waiting for them to be available and it can take as long as 45min to an hour.

[sistrmoon, BSN, RN]

I've done it both ways and I like bedside report.

Pros:

1) Accountability between shifts

2) Patient involvement and increased compliance (HUGE benefit)

3) Catching small problems before they become big problems

4) I can get my assessment done quickly on the last patient I get report on and have a jump start on my day (HUGE benefit)

5) Having a face to go with the chart data helps me keep my patient information separate

6) A great way to catch miscommunications and keep them from blowing up into incidents

Cons:

1) HIPAA concerns

2) There is always that one nurse who tries to do all her assessments during report, which I HATE. It's usually only a problem ONCE, though.

3) Waking the patient up - I don't set out to do it, but they often wake up when I'm checking the pumps or if I have a squeaky marker and I'm updating the board, or I'm checking a wound vac dressing.

4) The previous nurse didn't do a last round before report and now I have to fix all those problems - i.e. leaking/infiltrated IV that has obviously been bad for hours, pain needs that weren't addressed, etc. (Although this may be a pro, since now I know early and can knock it out.)

5) Huffy visitors who don't want to step out.

6) It takes approximately 5 times as long as a quick verbal SBAR report.

Our process also says the 2 nurses do a "quick head to toe assessment together." Really, 5 minutes per patient? Not happening. Especially with some of my coworkers.