Interesting project subject matter. You must live in a highly populated area with your level I trauma center. Your mission and values for your hospital were great to read. In the last couple years, we have changed from taping report to bedside report. I do not like the fact that now you only get report on YOUR patients. If I need to answer another persons call light or cover while a nurse is on break, I have no clue what is going on with THEIR patients. I do think it is good to do bedside report and at least peek in on the patient at the door, not necessarily wake them up as report is happening. I agree with you as the flow of report can take more time at the bedside and the nurse off going doesn’t get off work in time. Great recommendation to increase the compliance with bedside reporting in your hospital.
Over the last 2 years there has been a big push for bedside shift report to be done throughout the hospital I work at. I can see many benefits to the system as well as a few negatives, but I would say that there are more positives. It works best in private patient rooms and with patients that are involved in their own care. We had a lot of push-back to the initiation as you have experienced, and although it continues to improve and compliance increases-there are still units that refuse to comply overall. There are acknowledged exceptions to when this is an acceptable practice, and that is with patients that have verbalized a desire to be bothered less, with patients that have sensitive information to be passed on but the doctors have not talked to the patient yet, and with patients in semi-private rooms- the nurses need to adjust what information is shared in the room. It takes a lot of work to make it work but more often than not it works out best for the nurses and patients. I am a visual person so seeing my patient, their IV, any fluids or medications hanging etc helps me remember everything I need to pass on in report. I’m so glad to see this issue explored more!
We also use bedside report in our facility. There are many pros and cons to bedside report but I fully understand the reasoning behind it. As a patient, you want to feel like you have a say in your care and by doing bedside report, you obtain a feeling of control which is what we want to implement in our care as well. I do find it extremely helpful because this time allows the patients to give their thoughts and fill in any blanks that could have potentially been missed in report away from the bedside. I also like how it gives you the time to meet and greet your patient. I think your facility has a great mission statement and it sounds like they do a fantastic job going above and beyond for every single individual that comes through that hospital.
Interesting project subject matter. You must live in a highly populated area with your level I trauma center. Your mission and values for your hospital were great to read. In the last couple years, we have changed from taping report to bedside report. I do not like the fact that now you only get report on YOUR patients. If I need to answer another persons call light or cover while a nurse is on break, I have no clue what is going on with THEIR patients. I do think it is good to do bedside report and at least peek in on the patient at the door, not necessarily wake them up as report is happening. I agree with you as the flow of report can take more time at the bedside and the nurse off going doesn’t get off work in time. Great recommendation to increase the compliance with bedside reporting in your hospital.
Over the last 2 years there has been a big push for bedside shift report to be done throughout the hospital I work at. I can see many benefits to the system as well as a few negatives, but I would say that there are more positives. It works best in private patient rooms and with patients that are involved in their own care. We had a lot of push-back to the initiation as you have experienced, and although it continues to improve and compliance increases-there are still units that refuse to comply overall. There are acknowledged exceptions to when this is an acceptable practice, and that is with patients that have verbalized a desire to be bothered less, with patients that have sensitive information to be passed on but the doctors have not talked to the patient yet, and with patients in semi-private rooms- the nurses need to adjust what information is shared in the room. It takes a lot of work to make it work but more often than not it works out best for the nurses and patients. I am a visual person so seeing my patient, their IV, any fluids or medications hanging etc helps me remember everything I need to pass on in report. I’m so glad to see this issue explored more!
We also use bedside report in our facility. There are many pros and cons to bedside report but I fully understand the reasoning behind it. As a patient, you want to feel like you have a say in your care and by doing bedside report, you obtain a feeling of control which is what we want to implement in our care as well. I do find it extremely helpful because this time allows the patients to give their thoughts and fill in any blanks that could have potentially been missed in report away from the bedside. I also like how it gives you the time to meet and greet your patient. I think your facility has a great mission statement and it sounds like they do a fantastic job going above and beyond for every single individual that comes through that hospital.