1. Providing Quality Patient Care through Bedside Reporting
Joanne Monaco
Felician College
Introduction Procedure
Conclusion
Purpose
References
Example- Bedside Report Form for Post Partum Unit
Caruso, E. (2007). The evolution of nurse- to – nurse bedside shift report on a medical – surgical cardiology unit. Medsurg Nursing, 16(1), 17 -22.
Chung, K., Davis, I., Moughrabi, S., & Gawlinski, A. (2011). Use of an evidence based shift report tool to improve nurses communication. Medsurg
Nursing, 20(5), 255 – 268.
Evans, D., Grunawait, J., McClish, D., Wood, W., & Friese, C. R. (2012). Bedside Shift-to-Shift Nursing Report: Implementation and
Outcomes. Medsurg Nursing, 21(5), 281-292
Kerr, D., Lu, S., McKinlay, L., & Fuller, C. (2011). Examination of current handover practice: Evidence to support changing the ritual. International
Journal Of Nursing Practice, 17(4), 342-350. doi:10.1111/j.1440-172X.2011.01947.x
Radtke, K. (2013). Improving patient satisfaction with nursing communication using bedside shift report. Clinical Nurse Specialist.
A nurse’s day at the hospital begins with the handoff
communication of the nurse who worked the prior shift.
During this period, many critical components of the
patient are to be exchanged. This may lead to
miscommunication and missing patient information as
well as time taken out of patient care to search for
missing information that is essential for patient care.
Therefore, a standardized hand off report at the bedside
can assist in increasing quality of patient care
meanwhile increasing patient satisfaction of nursing
care. Limited scholarly research has been done on
bedside reporting. Evidence- based practice supports
the need for further research.
• Increases patient satisfaction
• More organized information leading to an
organized day
• Easier to prioritize tasks
• More time spent with the patient
• Improvement of patient outcomes
• Decreased delay in shift starting time
• Less missed key components
• Enhances patient safety
• Raises patient motivation to be more involved
in their care
The Joint Commission on Accreditation of
Healthcare Organizations has appoint a
standardized approach to handoff communication
as their second goal on the National Patient Safety
Goals.
• Patient satisfaction increased
• Decreased time to locate information
• Decreased time to organize and prioritize shift
• Decreased shift start lateness
• Overtime decreased
• Effective communication assisted in
influencing and improving patient outcomes
• Increased nurse satisfaction
• Patients were more actively involved in their
care
Rm:_______ Name:_________________
Age:_____
G:_____ P:______ NVD:_______ C/S:______
Time:_____
RH:______ RPR:_______ Rubella:_______
GBS:_____
BM:_____________ D/C Foley: __________
Diet:__________
PPD #:_________ SW Consult: N / Y
Alg:_____________
Tdap: R / A Given:________ Flu: R /A
Given:________
Refusal Papers signed: N / Y
MD: _____________ Expected D/C:
______________
Girl:____ Boy:____ Photo: N / Y C7: N / Y
Nursery: N/ Y Bld Type:______
Coombs:________
Cord Bili:_______ T. Bili:__________ D/C
Bili:_________
Breast: _________ Bottle:__________
Circ:___________ Glucose monitor: N / Y
Hep B: R / A Given:_________
PKU:__________
MD:_____________________ Sensor
Tag:__________
ID #:___________________
• Report patient’s history, past procedures and any
confidential information at the nurse’s station if patient
is in a non-private room.
• At the bedside, provide introduction to the patient of
the upcoming nurse
• Quick assessment (includes IV bag , site and fluids,
sides rails up and make sure call light is in reach)
• Provide a recommendation of what the goal is for the
day
• Update the information on the patient’s board
• Give patient time for questions or concerns he/she
would like to disclose for the upcoming nurse
Concerns
Common Concerns of Nurses:
• Longer shift changes
• Confidentiality
• Visitors
• Speaking in front of the
patient
Common Patient Concerns:
• Nurses are hiding something
• Oncoming nurse does not
know all essential
information