Bedside Report

This week, the instutition in which I work will be rolling out bedside report, a change that will largely impact nursing care (I'll decline to comment whether positively or negatively--that's the purpose of this post).

So I ask you all this: bedside report; friend or foe?

Discuss!
I think anything that can get the patient actively involved with their care and goals is a good thing, ultimately.

As long as your hospital is flexible, it could be a good thing. We do bedside report where I work. I like asking a patient after I'm done giving report "Did I miss anything that she/he should know?". It's helpful, and empowers the patient. If the patient is asleep at report time, we'll usually not do bedside report, but talk outside the room. Still, for some reason, the nurses that I'm giving report to usually feel the need to wake my patient up, who has had a rough, long night with little/no sleep by going into the room and updating the white board and checking call lights. Usually waking them up in the process, which usually leads to them asking for pain meds, toileting, crackers, coffee and breakfast... which leads to report getting finished 45 minutes to an hour later than it should be (turning my shift from 12 hours into a 13-14 hour shift) Eh... patient satisfaction is our goal. I guess I can sleep when I'm dead.

We are about to start this as well. I have many concerns including HIPAA, interrupting patient sleep, 2 reports arising(one sanitized, one real), and my interrogator coworker attempting to make me look stupid in front of patients. We are rolling out next few weeks:/

Quote from sistrmoonWe are about to start this as well. I have many concerns including HIPAA, interrupting patient sleep, 2 reports arising(one sanitized, one real), and my interrogator coworker attempting to make me look stupid in front of patients. We are rolling out next few weeks:/

Huh. I'm wondering if we work at the same facility They sent out a bunch of emails today and I can feel my anxiety amping up. Of course they don't give any info who to contact with concerns or questions.

Quote from sistrmoonHuh. I'm wondering if we work at the same facility They sent out a bunch of emails today and I can feel my anxiety amping up. Of course they don't give any info who to contact with concerns or questions.

This is expected of us, but usually we do the "real" report outside the door. I love to introduce the incoming nurse, tell the patient that nurse is awesome, and mention concerns that were voiced by the patient at the bedside, so the patient knows I listened and passed on information they felt was important. This is helpful for the difficult patients, and even more helpful to me if I'm due back that night.

They are going to have people going around and checking us off on bedside report and I'm assuming, making certain of compliance, for the first several months. We already round at the bedside(check patient, lines, etc) at change of shift but don't do report there.

Quote from sistrmoonWe are about to start this as well. I have many concerns including HIPAA, interrupting patient sleep, 2 reports arising(one sanitized, one real), and my interrogator coworker attempting to make me look stupid in front of patients. We are rolling out next few weeks:/

Quote from sistrmoonThey are going to have people going around and checking us off on bedside report and I'm assuming, making certain of compliance, for the first several months. We already round at the bedside(check patient, lines, etc) at change of shift but don't do report there.

Quote from nynursey_We are most definitely from the same hospital then.

We are expected to do bedside report at our hospital, there are signs at nursing stations stating that managers are checking for compliance, but none of my preceptors have ever done bedside report the 3 months that I have been there- including managers that were working the floor that I was orientating with. We give report at the nurses station and then go meet the patients, check the lines, write on the white board but do not give report in the room. I do not like the bedside report because of the reasons already mentioned. Now my hospital is going to be implementing MyChart Bedside. They will be passing out computers to patients where it will display their most recent vitals, when their meds are due, who their doctors are, and plans for the day. Guess what else? Messaging, where they can message their nurses. I'm sorry but I don't have time to text message my patients!