giving report

Nurses General Nursing

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Hey Everyone!

I just had a very frustrating experience last night while giving report to one of the night shift nurses. He was very rude to me and has been this way before. Apparently he doesn't like the way I give report and gets annoyed if I leave out details and he has to ask me questions. I was giving report on a patient diagnosed with a near syncope episode and leukocytosis/UTI. I told him I didn't give the patient's thyroid hormone until the afternoon because pharmacy was waiting for a shipment and that's when they delivered it. He looked surprised and said, "well, you know you're supposed to only give that in the morning on an empty stomach right?" and rolled his eyes and then said "ok...anyways....keep going..". When I was done giving report he said. "Hmm, this interesting, (as he scanned what he wrote down) you seemed to have given me all the information except for what I actually need to know." He then went on to list questions about if the patient had had a CT scan or troponins drawn and if she was on antibiotics. I told him sorry I left that out, and that the troponins were negative, and no CT scan was ordered. He looked over on my sheet and said "I notice you have written down the patient had a 2d eccho done today?" I told him yes but that the results weren't back yet. I realize I left out important information, but once prompted I knew the answers! It's not like I had no clue what was going on with the patient. The truth is that my other patient's were sicker and this patient was probably going home the next day. I gave a less than perfect report on this patient, but in the end he had all the info he needed. I have less than 1 year experience as a nurse and I am still learning.....I hate days when I work so freakin hard and then the night shift just tares me to shreds!

Question #1: What can I do to improve my giving report skills? Books? Suggestions?

Question #2: How should I handle a co-worker being rude to me in front of a patient/family in a situation such as this?

TIA!

Specializes in Med Surge, Tele, Oncology, Wound Care.

There is one nurse I report off to who wants us to draw the patient and draw where the lines, incisions and drains are! I told her that I don't have an art degree and she can see them all when and if she does her Assessment.

Specializes in stepdown RN.
I disagree with pretty much everyone but the above poster (LOL). Report is one of the most important parts of your job. If you leave things out consistently, you're putting the nurse you give report to at risk for not knowing important things. I've followed nurses like you who I have to pick out each piece of information and it can be frustrating, because what if I forgot to ask a specific question (like - hey, what's that about a 2d echo on your report sheet?") and you forgot to mention it, and the patient has a bad outcome because of the poor report you gave. Sure, not knowing about an echo isn't going to kill someone (well, it could maybe), but not knowing about serial H&H's, or a STAT test, or something else could.

Shouldn't everyone be looking at the kardex prior to report that has all labs, test etc. that are to be done that day. Just look up the results yourself. If the previous nurse gives you the result then great but if you see one is ordered and was not told about the results then look for it. No need to get all "cranky" about it.

Specializes in being a Credible Source.
I disagree with pretty much everyone but the above poster (LOL). Report is one of the most important parts of your job. If you leave things out consistently, you're putting the nurse you give report to at risk for not knowing important things. I've followed nurses like you who I have to pick out each piece of information and it can be frustrating, because what if I forgot to ask a specific question (like - hey, what's that about a 2d echo on your report sheet?") and you forgot to mention it, and the patient has a bad outcome because of the poor report you gave. Sure, not knowing about an echo isn't going to kill someone (well, it could maybe), but not knowing about serial H&H's, or a STAT test, or something else could.
With anything that really matters, I'd just as soon read the information myself rather than rely on a game "telephone" to communicate things.

The chart and kardex are much more reliable than any nurse giving report.

Give as good as you get:), and the attitude will change, he might not exactly like you, but he sure will respect you.

Eleanor Roosevelt- "No one can make you feel inferior without your permission."

:lol2::lol2::lol2::lol2:...

"OP - your coworker's behavior is about his being a jackalope,":lol2:

:lol2:You said jackalope:lol2::yeah::lol2::yeah::lol2::yeah::lol2::yeah:

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