I'm tired of going into report every morning and seeing that clearly not a single nurse actually wants to do report in the patient's room, but as soon as management comes along they all scurry into the doorway quickly to avoid being chastised.
Don't get me wrong, I totally agree that the oncoming and offgoing nurses should see the patient together at shift change before or after report, but the big push for a full "bedside report" in the past few years, while well-intentioned, is nothing but another nuisance for management to make their nurses resent them just a little bit more.
It's time consuming and unnecessary. Half the time the patient and families don't even want to be woken up anyway.
Am I the only one that thinks bedside report is a flop and a burden and completely fails at what it's intended to accomplish? Let us report how we're comfortable reporting.
When i started nursing this type of report was not done. I never liked the bedside report per se unless there was a specific reason (wound check, new equipment etc.). I am ok with a quick view of the pt while doing walking report. I didnt like when the oncoming Nurse felt the need to do an assessment, update board etc.bc after 12.5hrs of running all day i was ready to go. I also returned the favor when giving report knowing the out going nurse wants to get out of there. It is just a matter of respecting each others time, IMO.
Exactly. If you go into a patient's room it's hard to get out sometimes, especially if you offer toileting, a drink etc. That's not fair to the off going nurse. And it's not really fair to go in and ask patients if they need something but then say "oh I'll get your drink after report". Why ask in the first place? Report is for report, not to start your hands-on nursing duties.
I personally think a full a handover at the bedside is inappropriate. I do give report outside the room and then go in with the nurse after and do a quick goodbye/introduction. I like to update my board at that time, offer toileting or drink, clarify questions for the patient, check drips, tubes, etc. My manager is fine with this action. I still meet resistance from staff. If they don’t want to come in with me then I go by myself.
So if the person does want to get up to use the toilet, and it's someone you should stay with either in the br or outside, it's ok to take all that time to do so while the offgoing nurse wants to leave? I don't think so.
Nunya, BSN
771 Posts
Exactly. If you go into a patient's room it's hard to get out sometimes, especially if you offer toileting, a drink etc. That's not fair to the off going nurse. And it's not really fair to go in and ask patients if they need something but then say "oh I'll get your drink after report". Why ask in the first place? Report is for report, not to start your hands-on nursing duties.