So KindaBack, you quoted me, where I said that I had just responded to this issue in my last post. That post (#153) quoted/responded to you specifically and gave specific examples. So I guess you are saying instead of doing a chart(thread) review, you'd like a verbal report? Sure, I'll go over it again.
The portion you quoted from SC wasn't the one I quoted. Report itself doesn't have to be verbal, BUT, it can not be just a chart review. You have additional information that is important to be handed off.
For example, you can fax over a report and then call in with additional information and see if there are questions. This technique might not technically be considered verbal report but you still have the nurse-nurse final handoff which is key. So I guess to be technical, what I'm saying is a verbal report (of basic information like iv gauge) is not needed but a verbal handoff is. The whole point of handoffs (and of nursing itself on a wider scale), is to catch/prevent issues and keep the patient's care managed appropriately and smoothly.
Patients being dropped off without the nurse's knowledge is absolutely an issue connected to verbal handoff as it simply wouldn't have happened with verbal report/handoff in place! You want to assign the responsibility to 'some other system'(but you give no alternative suggestion for solution) but transfer issues happen in every single hospital and you already have a solution(verbal handoff) that's basically 100%.
As a previous poster mentioned, she had a patient who was airborne precautions in a room which was not set up for that, and because of lack of verbal handoff, many people were placed at risk. Others have talked about inappropriate floor admissions which I personally have experienced, which can be stopped at verbal handoff stage. I remember one patient in particular where the charge nurse told me to not accept report from the ER if they tried to call it in to me as it was inappropriate for our floor. A few minutes later ER did try to give report to me. I would have been screwed if the patient was simply brought up and we had to try to sort this mess out on the floor. Not good for patients and not good for nurses. Verbal report saved the day again!
In my last post I gave specific examples of important information which can not be placed in the chart, such as that the husband who's wife my patient killed was being admitted to the same floor. Other social or police related information (I gave an example that I was getting a shooting victim, and the shooter was threatening to come back to finish the job which is very important for me to know), or concerns/suspicions such as abuse, can be important to know which is not written in the chart either.
And again, as I said in my last post, when reviewing a chart you are more likely to miss a random piece of important information which can be easily highlighted and elaborated upon with verbal handoff. Muno had previously written about a patient on Revatio - this important information can be highlighted during a verbal handoff to prevent the nitro issue. In addition, any other unusual information such as strange HIPAA issues can be highlighted. I had one young adult non English speaking patient who had no idea what her birthday was. Thankfully her family was there at the time and could reassure me that was normal for her. Night shift was grateful for me to highlight that information to them. Little tips to manage dementia patients are also very common to be passed along in report and can give a clearer picture of what is 'normal' for a patient. It happens so often that just a minute of extra verbal information can make the care so much smoother.
There are also things which can be stated so much more bluntly and clearly verbally, than in the chart. You can't write "her breathing sounds terrible" but you can say it on verbal report. I had one patient where it was her norm that her breathing sounded awful. I was grateful to hear this from the offgoing nurse so that I could give her appropriate care.
Bottom line there are things which are important to know which can not be written in the chart, and important things which are in the chart but can be emphasized so as to not be overlooked. Verbal handoff can be a quick thing to do and can be very helpful to the care the patient receives and the safety of both the patient and nurse. Many problems can be prevented with verbal handoff and clarification of issues. So with all the good that verbal report/handoff can do... instead of trying to remove it and assign blame for the multiple holes it leaves on other things, why not instead assign focus on the one issue of why someone can't give report in a reasonable amount of time? Perhaps say that if report/handoff can't be given within 30 minutes then it can be given to the floor charge?