CNA and report

When i was a CNA at the hospital, we did CNA report off to CNA. They took a total of maybe 15 minutes for all their patients. RN's took longer cause we had to go over more.

However, it has changed. Since i recently became an RN the CNA now does rounds with the two RNs doing report. So When we do rounds in the morning or at night, it is the oncoming nurse and the oncoming CNA. We had to do this because we do report around 6:30pm, and when we were all busy giving report, we found that patients were being left "unattended to" for that 30 minutes as we were all busy in patients rooms. Our falls were highest around 6:30-7:00pm. So, now we have it that the CNAs from the previous shift watch for call lights and take patients to bathroom etc. While the RNs, oncoming RNs and oncoming CNAs get report.

It sounded great on paper, but it really isn't working. Mainly because our CNAs may be paired with 2-3 RNs so we have to wait for our CNA to be done getting report from the other pair of RNs so we can start ours. They have to round on 8 patients, we have to round on 4. So really, i round with 4 and wait for my CNA to get down rounding on 4. It makes SBAR go twice as long, and i usually end up staying 20 minutes past the time im supposed to punch out.

The system is flawed and we need to work this out!

We take report with the RNs. They do it quickly to say who is NPO, who needs urine tests and things like that, and then they go into more detail with the oncoming RN.

On my hospital floor, we do CNA-CNA report. We have 7-10 pts and go over our report sheet with the oncoming tech. We go over dx, whether they are continent/incontinent, if they have any changes in vital signs (we do q4 but sometimes we have some pts who are q8 or orthostatic, etc), if they are ac/hs glucoses, whether or not they are on contact precautions, bed alarms/falls precautions, if they are NPO, any other thing we feel is important to get your work done & have a good shift (regarding how the day/night went, their mood, who is going to sit on the call bell, etc.) Our reports generally take about 5-10 minutes. Our techs are all really good and our report sheets are pretty detailed which is nice.