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Discussion

Bedside Report

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!

Featured Replies

We are expected to do bedside report at our hospital, there are signs at nursing stations stating that managers are checking for compliance, but none of my preceptors have ever done bedside report the 3 months that I have been there- including managers that were working the floor that I was orientating with. We give report at the nurses station and then go meet the patients, check the lines, write on the white board but do not give report in the room. I do not like the bedside report because of the reasons already mentioned.

Now my hospital is going to be implementing MyChart Bedside. They will be passing out computers to patients where it will display their most recent vitals, when their meds are due, who their doctors are, and plans for the day. Guess what else? Messaging, where they can message their nurses. I'm sorry but I don't have time to text message my patients!

Wow. Just when you think it can't get worse. Sounds like your hospital has some serious money to be passing out computers to patients. Did staff get a raise recently? If not, you know where that money went.

Now my hospital is going to be implementing MyChart Bedside. They will be passing out computers to patients where it will display their most recent vitals, when their meds are due, who their doctors are, and plans for the day. Guess what else? Messaging, where they can message their nurses. I'm sorry but I don't have time to text message my patients!

LOL WHAT? That won't last long because computers will get stolen. I can't imagine... Just no...

LOL WHAT? That won't last long because computers will get stolen. I can't imagine... Just no...

They stated that they have special technology in the tablets so that they will not work if taken out of the building, and so they can track them at all times and know if they are taken out.

Wow. Just when you think it can't get worse. Sounds like your hospital has some serious money to be passing out computers to patients. Did staff get a raise recently? If not, you know where that money went.

You know that the person who came up with this are not direct care staff! I can see the purpose of MyChart, but not the messaging feature. It will be abused and staff will be pushed for time even more. On their website it says "overdue upgrade from the call light. Instead of pushing the call light to ask for a drink or a blanket, just send a message to your nurse"....

You know that the person who came up with this are not direct care staff! I can see the purpose of MyChart, but not the messaging feature. It will be abused and staff will be pushed for time even more. On their website it says "overdue upgrade from the call light. Instead of pushing the call light to ask for a drink or a blanket, just send a message to your nurse"....

Are they trying to say it will help nurse satisfaction too? All I know is half the time I can't answer my work cell because I'm, you know, actually caring for the patient in front of me. And now you'll be bombarded with messages too? I remember at one point they gave the patients our work cell numbers. That died out pretty quickly.

You know that the person who came up with this are not direct care staff! I can see the purpose of MyChart, but not the messaging feature. It will be abused and staff will be pushed for time even more. On their website it says "overdue upgrade from the call light. Instead of pushing the call light to ask for a drink or a blanket, just send a message to your nurse"....

How about having them call or text message the CNA for such little things, not waste the nurses time!

  • Expert
We are expected to do bedside report at our hospital, there are signs at nursing stations stating that managers are checking for compliance, but none of my preceptors have ever done bedside report the 3 months that I have been there- including managers that were working the floor that I was orientating with. We give report at the nurses station and then go meet the patients, check the lines, write on the white board but do not give report in the room. I do not like the bedside report because of the reasons already mentioned.

Now my hospital is going to be implementing MyChart Bedside. They will be passing out computers to patients where it will display their most recent vitals, when their meds are due, who their doctors are, and plans for the day. Guess what else? Messaging, where they can message their nurses. I'm sorry but I don't have time to text message my patients!

Oh good lord! What next??????? :banghead:

Now my hospital is going to be implementing MyChart Bedside. They will be passing out computers to patients where it will display their most recent vitals, when their meds are due, who their doctors are, and plans for the day. Guess what else? Messaging, where they can message their nurses. I'm sorry but I don't have time to text message my patients!

What? In my experience patients who are sick enough to be hospitalized are usually very ill. Are very ill patients really going to be expected to use computers to learn about their plan of care and to communicate with their nurses?

We've bedside reported since I started at my facility. We don't wake sleeping patients, we never feel like we are interrogating each other (I like 99% of my coworkers and we are all on the same team).

It can be a hassle sometimes if you're getting report from multiple people but we make due, we also have a full half hour overlap of shifts at 7am and 7pm to get report done. So day shift works 7-1930 and nights works 19-0730. Some people only work 8s though too.

As a whole we prefer to introduce the next nurse and patients and their families seem to like it as well. I also then know right away who I need to come back and see ASAP and who can wait, I eyeball fluids and know who I need to bring in a new bag for right away etc. it gives me a lot of info on my people in the 2 min we are in the room.

edit: if the patient is not alone we ask if it's okay to speaks in front of the people or ask them to step out for a moment

Wow, next week we are starting bedside reporting in my hospital as well! I think there are pros and cons to bedside reporting, as other expressed HIPAA concerns, waking up patients, a grilling co-worker, etc. As long as there is flexibility I think we can make it work.

Now my hospital is going to be implementing MyChart Bedside. They will be passing out computers to patients where it will display their most recent vitals, when their meds are due, who their doctors are, and plans for the day. Guess what else? Messaging, where they can message their nurses. I'm sorry but I don't have time to text message my patients!

Oh for the love of the ceiling lift!! So now, when it's 0805 they can text their nurse for their "late" 0800 meds??

My issue with devices is that I answer them when appropriate. Heck, if I'm busy at home, I don't even answer my sister's calls! I note who the call is from and call back when I'm ready to.

I've discussed this before, but this place I used to work for gave each nurse a cell phone. Our HUC used to get after me for not answering mine: "I transferred a call to you, but you didn't answer it. Is your phone on?" Me: "Yes, it's on, but I was downstairs eating lunch. I don't carry my phone while on break because I am off the clock." or "Yes, it's on, but I happened to be toileting a resident when it rang. I don't answer cell phones at inappropriate times--such as when I'm busy toileting someone." :facepalm:

I suppose if it cuts down on the noise from traditional call lights it could have its benefits. But pts have to understand that just because they have the capability of sending an instant message, they can't expect an instant response.

My issue with devices is that I answer them when appropriate. Heck, if I'm busy at home, I don't even answer my sister's calls! I note who the call is from and call back when I'm ready to.

I've discussed this before, but this place I used to work for gave each nurse a cell phone. Our HUC used to get after me for not answering mine: "I transferred a call to you, but you didn't answer it. Is your phone on?" Me: "Yes, it's on, but I was downstairs eating lunch. I don't carry my phone while on break because I am off the clock." or "Yes, it's on, but I happened to be toileting a resident when it rang. I don't answer cell phones at inappropriate times--such as when I'm busy toileting someone." :facepalm:

.

We have this one monitor tech who gets impatient and rude if we don't answer right away. I had to sit with her for a few hours one day, and she got all high and mighty about her role in my life. Look, I appreciate my monitor techs very much, but chill with the God complex. Anyway, I finally got frustrated and told her I'm sorry but if I'm elbow deep in cdiff poop, I'm not answering my phone. Man she was peeved. It's just not possible to be everywhere at once, immediately available for everything. On one hand, I do like that I could get a message from a patient and know before I walk in the room what they will want. On the other hand, I could see them becoming more impatient.

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