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Our unit does do bedside reporting. We started in October and are still transitioning to 100% compliance and such, but it’s becoming much more ingrained.
If you do you, do you involve the parents/caregivers/patients? We involve all three when possible. The night shift giving report to day shift bedside report often involves environmental surveying, checking IV fluids, noting important assessment parameters, and letting the child and family sleep as it happens between 0700-0730.
Is it performed in the patient room or outside the patient room? The majority of history and medication information is relayed outside the room. Within the room, we double check the most pertinent details (assessing central line dressings, skin issues, mucositis concerns, infusion rates, pain assessments, etc.) and go over the nursing plan of care with the oncoming shift, ensuring the family and child know what we are doing and where things are going.
How do explain this process to patients, so it is not disruptive to the process? It has yet to be viewed as a disruption. If families are wanting to sleep when day shift reports to nights, they let us know and we just peek in at fluid rates and such.
Do you find this type of report beneficial? Yes. Again, I can’t say 100% of staff feel the same way because it’s a culture change during a period of enormous systemic change in our organization, but we have caught errors, prevented codes, prevented falls, and the like in our organization.
Do you use some kind of check off list or kardex to streamline the report process? We’ve created a template document (modified IPASS) to our care environment to assist the newer staff in organization of important information and care plans. This tool has been used much less over the last month or two, but the incidence of actual bedside report is improving..and the point of the tool was to facilitate bedside report, so the bigger win is happening.
If you do, is it on paper or electronic? Our modified IPASS is a paper form.
—————————— Chris Donaghey, MSN, CPN, CPHON Indianapolis, IN ——————————
We have recently starting looking into starting bedside reporting and have read all the benefits of this. Does anyone perform bedside reporting? If you do you, do you involve the parents/caregivers/patients? Is it performed in the patient room or outside the patient room? How do explain this process to patients, so it is not disruptive to the process? Do you find this type of report beneficial? Do you use some kind of check off list or kardex to streamline the report process? If you do, is it on paper or electronic? Any information would be greatly appreciated 🙂 —————————— Kathryn Colon, BSN,CPHON,RN Warwick, NY United States ——————————