Giving Bedside Report - Pt involvment or JCAHO violation?

BrokenRNheart · Jul 20, 2008

The compliance with this is minimal. Nurse don't want to do it. For one, it creates more work and you then have to give two reports on the patient....the report that you don't give in front of them and the one you do.

I don't think it is right because some patients have anxieties about their conditions. The people making decisions are grasping at the most absurd things and I am beginning to think it is for their own job security. If they don't come up with ideas and change they might be out a job.

We will see where this actually goes. I haven't even met a handful of nurses that are compliant with this.

puggy232 · Jul 21, 2008

We make a go on it sort of, I give most of the report outside the room of the pt if not in a private room, then head in with the on coming nurse to introduce to the patient, most of the nurses don't even do this, but after posters of threats to write up those who didn't went up more are faking it, I agree with brokenheartrn some of this is job security for some folks-our education nurse came in early- 0700 to send repeated annoying pages to do walking report, otherwise you'd see the woman once a month during staff meetings with a lame class- oh and making a bee line for the door at 4pm. I don't see how this is possible and maintain pt privacy- we had a HIV+ pt who was in tears

as the room she was in was semi private and her doctor kept referring to her status at the bedside the other woman in the room then told her nurse "I didn't know you treated people like her-I want another room" and then proceeded to sit in the lobby until she was placed in another room. She claimed to have worked in healthcare, but obviously her education of HIV was limited. It was a big mess, so much for pt relations/privacy.

RNsRWe, ASN, RN · Jul 21, 2008

We don't do this. It has been discussed, but it was felt by management as well as staff nurses that too much information would be overheard by the roommate as well as the roommate's visitors (semiprivate rooms). And, too, is the information that should NOT be given at the bedside, such as a patient's test results, lab values, etc. The last thing we'd need is for the oncoming nurse to note "oh, I see she has cancer" and the MD has not discussed it with the patient yet!

I can see it working in places, but certainly not all of them. And our patient satisfaction is way up there, so I don't think it'd improve it

Batman24 · Jul 21, 2008

We don't do bedside reporting due to privacy issues. We have semi private and private rooms but don't even do it for those in private rooms. I believe they tried it in the past and it just didn't work. I've heard it was very time consuming. I do introduce the oncoming nurse when I can and if I can't bring them in the room I let them know I'm leaving and the name of the nurse taking over along with some kind words that they will be in good hands and be just fine.

owensmommy · Jul 21, 2008

My hospital has recently implemented bedside report and almost every nurse HATES it!! Besides the obvious breech in privacy, it is very time consuming. As stated by others, there's only limited amounts of information you can say in front of a patient. Plus, you have them throwing out questions..."why again would my potassium be low?"...and the little old ladies oblivious to the fact you are trying to give report so you can go HOME..."could you go ahead and help me to the bathroom while you're in here...oh, and brush my dentures, they sure are nasty". Plus they want us to look at IV sites, drips, pain pumps, dressings, etc during this bedside report. Needless to say, we don't have time for all of that so it is rarely done like that. And we are threatened to get written up if it's not done. :banghead: