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How long does giving report take at other places? At my hospital, time stops while we take 1.5 hours giving report. Any ideas? How do we get other procedures done during this time?
We give a verbal report in the ICCU,using our bedside charting as a guideline so we don't forget anything. don't know how this will work when we go to computer charting...We keep worklists on paper..all of us. Takes 15 to 30 minutes depending on if the nurse is familiar with the patient.
Originally posted by fiona KGeneral points. Where do people give report??
We almost always try to go to a private place, somewhere quiet without distractions-- report is either already taped for the next shift, or we'll go with the nurse who is following us to give a verbal report in that area. There are sort of designated places for each team-- anywhere from a dictation room, to the "break" room, to a supply closet, to an unoccupied patient room. I rarely give report at the nurses' station, unless no other place is available, or if I'm reporting to 11-7 shift and need to show them extensive new orders on a chart.
We do what is called a "managed report" at the start of each shift. This is when everyone finds out who is in charge, what our color is for staffing (red,orange,yellow, green), if we have any students or orientees and whom they are with. The no codes, and the "heavies" with other folks may need to know to help with.
Then we break off for our own individual reports. Every nurse coming on has their own tape recorded report on their patients. Kardexs in front of them, it is report by exception. For the most part report takes 10-15 minutes if done correctly. The aides are responsible for giving report to each other and the RN's are responsible for checking with the aides to make sure info is correct.
90 minutes, I would be asleep by then. When do you have time to see your patients, eat, or take a bathroom break.
Charge nurses get report on everyone? We are lucky if we get a report at all. I couldn't imagine everyone, but then, we take the same load patients as everyone else.
Yeah, our haematology/ stem cell transplant ward reports go for up to 1.5 hours. We do need to get report on everyone 'cos they're always pretty unwell, and need to know what's going on and who's about to crash. Every now and then we try to cut time by leaving out some of the less vital stuff, however the next shift then asks a heap of questions, so it's quicker to just include everything...
I think a VERY brief outline on everyone and then a mpre detailed mano-a-mano handover would be more appropriate, myself, but other people want to get a full report, so it doesn't seem to change...
Kathy
We have a combination of wriiten report and Kardexes. There is a overlap of 30 minutes between shifts so if there are questions the oncoming shift can ask rn's in charge of their pts. On weekends we tend to do more verbal reports because there isn't time to fill our wriiten reports but then when it comes to Sunday the night shift has to write all wriiten reports because Monday day shift is notorious for NOT wanting any verbal reports! I wish there was a perfect system!
I have been on placements in many different areas, but in the majority of my placements handover is about minutes, on a 20-30 bed ward.
I haver never encountered taped handovers, they are usually all done face to face,a lthough some places have kardexes or pre printed reports.
The longest handover, was about an hour and half:
Private surgical ward, very posh, nurses got handover at the station, 30 minutes, the walked in to each patients room, and greeted them, while the leaving shift said good bye (why?) and then the sister would walk the corridor with the nurse comming on duty, to address any concerns before the sister left, and on a really bad day matron would come around as well!
I will admit that by the end of that placment I understand the tradition of hiding in the sluice away from matron!
Shortest handover:
"they all slept well, no changes"
not even a minute:rolleyes:my first early shift on a new placement, and that is all the night shift said and then left! not very helpful at all. I learnt my lesson, and now always try to start a new placement on a late or a night as you seem to get a better handover.
niteshiftnurse
140 Posts
Good grief.....an hour and a half??? With me, if I had the same patients and there wasn't any drastic changes during the nite, it only takes about 30 minutes. If I am getting report from the day nurse and I already know the patients, I tell them to give the the "high lites" because I already have the basics