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Open. Our legal department deems it "incidental overhearing". Alrighty. Parents and visitors can be at the bedside, but we do have a letter we give them upon admission to please try to not interrupt us so that we don't forget anything important. If there is sensitive info or something the family doesn't know we tell the other nurse away from the bedside. We used to have an hour between shifts but too many families complained so we had to open. Bad ju-ju on the surveys
24/7. In my previous NICU, we just went to an empty bedside area to give report (not all parents are all there 24/7). In my NICU where we have all private rooms, it's pretty easy to find an empty bedside or give report outside and just close the doors.
I don't really see what the big deal is and if I had a kid in the NICU, I wouldn't want to leave. If I have a parent who is demanding my attention, I just let them know that I need to complete mandatory safety checks first before I do anything. I imagine it would be especially hard if your parent is kangaroo'ing a vented baby that you need to put back or is coming in the for the first time all day.
I haven't worked in a NICU, and I'm not yet a nurse. My son was in the NICU (open) for 2 weeks when he was born, and I was never asked to leave. The only policy was there was "quiet time" from 2pm-4pm every day when all the overhead lights were dimmed. This was at a big Military hospital.
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How does everyone's unit handle parent visitation during handoff and change of shift? Are the units closed? If not, how do you handle the HIPPA issues especially in non single patient rooms