magordon

Thank you. Let me point out that I am not management, I just happened to be standing in for the charge nurse the day that management came by to talk numbers and graphs. I did point out to them at the time that if they were to be the ones patrolling the hallway it is going to make everyone uncomfortable. I think my next place is to look for evidence in the negative. I think that a valid idea would be our report as we do now and then a safety bedside check/doorway if patients are sleeping. Our hospital is currently focused on patient satisfaction scores and not staff satisfaction or safety. And the more comments I am reading from those of you with experience makes me think that this will be unsafe and is going to increase the incremental overtime that they are always trying to cut down on. I think that this week I will time my reports and see how long they take on average and then do an attempt at bedside reporting to compare. I think that maybe if I show that there will be an increase in overtime pay we can try and get this pushed away again. Please keep commenting. I only mentioned pizza party because that seems to be the only way we are rewarded for anything. And I couldn't think of an alternative on the fly. (and a pony ride would be so much better! But my EVS staff would kill me!!)

I am still unsure of how I feel about bedside reporting as I have not seen it in full effect. I went to a panel conversation about it at a conference once where all the nurses that participated raved about it. I think the main reasons I would see our staff resisting would be: *Not wanting to wake sleeping patients. We have a sometimes volatile group of elderly people. *Needing to get report from multiple nurses on the off going shift. *Some nurses just talk too long and report already takes way too long to complete. These are all reasons I would also resist. I guess in my mind I would visualize bedside reporting as a shortened hallway report as we do now and then a quick rounding on patients so that eyes are on before the off going shift leaves.

I guess in my mind that is what I see as bedside report. Briefly going in and checking on patients immediate safety concerns.

I work on a med surg unit that specializes in the acute care of the elderly. Our management has tried 15 times in the past to roll out bedside reporting on our unit and has met resistance each and every time. They are implementing it again the end of this month. I have volunteered to help find ways to get more nurses involved and to hopefully give bedside report an honest shot. I would appreciate any tips from people who have had bedside reporting implemented on your units. A couple of things we have thought of: A script or a list of things that can be discussed in the room. Having management and super users for a week spend shift change in the hallways to help with the process. offering encouragement and tips. And lastly figuring a way out to honestly track if bedside report is being completed and the shift that has the highest percentage wins a pizza party or something similar. Any ideas?

For task 1, how much did you fill in on the tools? I am struggling to answer all the questions on each of the pages.

Which FB group do you speak of? I could really use a layout example for task 1.