The problem I have is we have 3 different nurse's stations, they give report at 6am, then hit the floor. I am usually there by 7am. I meet with my unit managers about 30 mins prior to standup at 9am. We are supposed to go over 24 hour report, t.o's, incidents, etc. The process is so slow and often times I don't even get to the second unit manager in time for standup. Nascar Nurse, you mentioned you hear report from the nurses. Do you have one nurses station or do you do a huddle? Also, you mentioned you do a quick resident round. Are you literally going room by room? How do you do that without getting pulled in a million directions? BTW, do you have unit managers?