Bedside reporting is back!

This issue has been addressed before. You can do a *search* to find previous threads. You can see there are varied opinions on it and experiences with it. Here are a few threads:

https://allnurses.com/forums/f8/bedside-face-face-shift-report-175915.htm

https://allnurses.com/forums/f8/bedside-reporting-218551.html

https://allnurses.com/forums/f8/report-pts-room-218907.html

In regard to privacy concerns, this is copied from the DHHS website in regard to HIPAA:

The Department, in its July 6 guidance, clarified that the Privacy Rule is not intended to impede customary and necessary health care communications or practices, nor to require that all risk of incidental use or disclosure be eliminated to satisfy its standards.

the hospital I work at just started doing this, and I highly disagree with it! I think it violates HIPPA, is time consuming and in a large way offesive to me as an RN. What our hospital says, is that the off going nurse is to introduce the oncoming nurse to the patient, we are also to point out where the IVs are, dressings and foleys! Now I dont know about others, but in my first year of nursing we learned to introduce ourselves to our patients, and any nurse who is handing out meds and not introducing themselves should be ashamed. Next unless you are an a floor that your patient has mulitple lines with meds that are being titrated, I dont need anyone to show me where my IVs are or where my foley is! I know my time could be spent doing a lot more than introducing a nurse to the patient that has a name tag on!!! I dont get the rational behind it and would love someone to point out a different aspect of this because, its to the point where I feel like i'm on some hidden camera show being punked!! I just feel that stupid doing it!...

I don't think it's stupid by any means. If you've ever been a patient in a hospital you know that you may be confused and with nurses changing every 12 hours or so, the patient doesn't know who his/her nurse ever is. So I think the introduction of the next nurse is really helpful for the patient. I don't agree with the OP saying that the patient tends to start asking for help or medications and that can make the turnover much more difficult. It may be time consuming, but I personally feel that it is much more thorough. Just my opinion.

the hospital I work at just started doing this, and I highly disagree with it! I think it violates HIPPA,

as another noted, one needn't be overly concerned about others incidentally overhearing patient information.

is time consuming

how much time it takes depends on how it's done

and in a large way offesive to me as an RN. What our hospital says, is that the off going nurse is to introduce the oncoming nurse to the patient, we are also to point out where the IVs are, dressings and foleys! Now I dont know about others, but in my first year of nursing we learned to introduce ourselves to our patients, and any nurse who is handing out meds and not introducing themselves should be ashamed. Next unless you are an a floor that your patient has mulitple lines with meds that are being titrated, I dont need anyone to show me where my IVs are or where my foley is! I know my time could be spent doing a lot more than introducing a nurse to the patient that has a name tag on!!!

How many times have you gotten report that didn't mention the patient had a foley when they did or vice versa? Have you ever only later discovered that the off-going nurse forgot the mention that, by the way, the patient is missing their left foot? Or that the patient is doing fine but when you look in on them, they look like hell? Or some other incorrect or missed information? If you're both right there looking at the patient, certain things can be better clarified.

Finally, if the off-going nurse introduces the oncoming nurse, the patient is assured that you two have actually talked to each other and you, as the off-going nurse, know that the patient has some idea of who is taking over your care. While you have no control over what happens after you leave, if the following nurse isn't as attentive as you were, the patient won't be wondering if you had had a chance to review their situation with the oncoming nurse. The patient won't have to wonder if the oncoming nurse already knows important info like that they're a vegetarian or that they have a test scheduled for 9a. Of course, the oncoming nurse should know these things, but it can be reassuring for the patients.

I dont need anyone to show me where my IVs are or where my foley is!

hehe... Thank god, because if a nurse needs someone to show her where the Foley is, she's got some serious problems....

I've seen patients roll their eyes and turn their head the other way when they are being talked about. I personally would hate it if I were a pt.