New handoff report- scared!

[lilaclover6984]

Our unit has recently started a new reporting system where the outgoing charge nurse gives report to the entire oncoming shift as a big group. Im a night charge nurse which means I have to give report to the entire day shift including the manager, oncoming charge, nurses and nursing assistants. For an Introvert like me this is a nightmare! I have been so stressed about having to do this that I've even been having nightmares! I've spoken with some of the other charge nurses who have had to do it already and they said it is like firing range of questions at them and very stressful. Especially for us night shifters who are coming off a night of being awake all night and having to give report to a fresh group of wide awake day shifters.

Any suggestions for how to get through this? I'm sooooo stressed about if.

[kbrn2002, ADN, RN]

Yipes! Unless you have really small floor, that system sounds like a nightmare.

[evolvingrn, BSN, RN]

I think that is insane, and its also a violation of patient HIPPA rights. I do not have a right to do know the plan of care of pts im not caring for. A CNA does not have a right to indepth knowledge of pt hx ect........that is not pertinent to their job. It may make them feel more part of the 'team' but its inappropriate. the only time i have ever seen this done was in LTC facilities. Industry standard is Bed side report in this day an age.

[CodeteamB]

I think that is insane and its also a violation of patient HIPPA rights. I do not have a right to do know the plan of care of pts im not caring for. A CNA does not have a right to indepth knowledge of pt hx ect........that is not pertinent to their job. It may make them feel more part of the 'team' but its inappropriate. the only time i have ever seen this done was in LTC facilities. Industry standard is Bed side report in this day an age.[/quote']

We're talking about a slightly different way of thinking. We are Canadian, so no HIPAA, of course we have privacy laws but unit wide report does not violate them.

The information given out in report (pt diagnosis, activity and toileting/hygiene status, fluid restrictions, how often requiring analgesia, diabetic and other food restrictions, planned DI for the day etc.) is important information for the NAs and for the rest of the unit.

Even when we do primary nursing we are covering breaks for other nurses, and I answer call bells for anyone on the unit. I have some responsibility in the care of each patient on the unit.

I'm interested if other Canadian nurses have seen bedside report? It does not seem to have reached my neck of the woods yet, and is certainly not the industry standard.

So now I've gone way off topic and defended a mode of report I no longer participate in, and didn't actually like that much, but I thought I would clarify.