Do you have them? We recently went to doing this and was told this is how all hospitals will eventually be doing it. I don't know if it's a JACHO thing or not.
First, we get verbal & written report from the nurse we're relieving. During that, we are to go over the past 12 hours of orders to make sure they've all been done or ordered. After that, we are to go together to each patient's room and be introduced. While there, we are supposed to look together at things such as IV sites, IV fluids/meds, dressings, etc.
I can understand how this would help decrease orders being missed and hold the nurse more accountable for ensuring orders were done that were ordered during her/his shift. Also that one nurse who's ready to get out of there and go home will be less likely to leave an IV bag almost empty, a patient lying in a urine soaked diaper, etc. BUT, the way it has been going so far, most nurses giving the report want to rush through the orders so fast that the oncoming nurse doesn't really have time to eyeball that it really was done/entered in computer/added to MAR even though the other one says it was. Some nurses try to avoid this part completely. Some not only try to avoid this, but also avoid going to the patient's rooms.
If you are doing reports this way, how is it going where you are?
