Report process

[Tomi90]

I currently work in a psychiatric facility with 34 beds available on the acute side. Typically staffed with 4 nurses including charge nurse and 4 MHTS. As of now, our patient info (diagnosis, medical hx, age, etc) is typed in a word document and the charge nurse deletes and adds info as patients are admitted and discharged. This is what we use to give report. This can be very tedious on busy days. Also the charge nurse gives report to all the incoming shift (MHT & RN) I'm looking for ideas on how to improve our current report process. How do you all that work in Psych currently do report? Nurse to Nurse? Charge nurse to all incoming shift? Do you have patients info typed up in a word document or excel? Or does each nurse write down pertinent info to pass on? Any input is greatly appreciated. TIA

[adnrnstudent, ASN, RN]

I work in a 36 bed facility. Each nurse gives report to oncoming nurse that is assigned patients. The assignment from shift to *** can vary slightly so you may get report from 2 nurses or even 3+ maybe depending on who did an admission that got placed in your assigned territory.

[Tomi90]

@adnrnstudent what are some of your expectations for the day per patient?

[maggie0, BSN, RN]

I work on an acute psych floor with 30 beds, and patients each have a meditech file with all their pertinent info. We (RNs and MHTs) update the shift's changes 1. in a nursing note in meditech, not Word, and 2. in a physical binder with a page for each patient. This Shift Book is used when the charge nurse gives report to entire staff, but can also be brought to treatment team meetings to give a quick update to the docs, social workers, etc. If the nurse/tech is in a hurry, they can print out their nursing note and tape it into the shift book. We also print out a census sheet each day with name, diagnosis, age, room number, etc, of each patient, with a box for note taking. Staff uses the census sheet to take notes during report and during the shift as reference. Hope this helps.

[Tomi90]

On ‎11‎/‎7‎/‎2019 at 7:33 PM, maggie0 said:

I work on an acute psych floor with 30 beds, and patients each have a meditech file with all their pertinent info. We (RNs and MHTs) update the shift's changes 1. in a nursing note in meditech, not Word, and 2. in a physical binder with a page for each patient. This Shift Book is used when the charge nurse gives report to entire staff, but can also be brought to treatment team meetings to give a quick update to the docs, social workers, etc. If the nurse/tech is in a hurry, they can print out their nursing note and tape it into the shift book. We also print out a census sheet each day with name, diagnosis, age, room number, etc, of each patient, with a box for note taking. Staff uses the census sheet to take notes during report and during the shift as reference. Hope this helps.

Thanks for your feedback!

[meeep, BSN, RN]

I work in a 25 bed locked acute unit. We have a group report at the start of the shift with all the oncoming nurses/techs and charge RN. The charge RN goes over the highlights of the unit, any behavioral issues etc to be aware of, upcoming discharges, new admits, safety issues, then we all get nurse to nurse report on our patients from the off-going nurse.