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Bedside Reporting.pptx
- 1. Bedside Reporting Shiny Edward Aspen University DNP 800 Dr. Carrie Lemke July 4, 2022
- 2. Let’s handoff our patients with painstaking care Making the transfer of CARE between shifts seamless and patient centered
- 3. Encourages teamwork between shifts Accountability is shared by both shifts Oncoming staff visualizes patient immediately and prioritizes care for the shift Reassures the patient the staff works as a team and that everyone knows the plan of care Nurses and care team can better delegate care activities Nurses are more prepared to answer physician questions Benefits of Bedside Shift Report Changes perception of caregivers to that of being professional and organized Helps identify items needing attention sooner than later 3
- 4. Research Says • 70% of all sentinel events are the result of poor communication • 50% of nurses feel that the biggest concern during shift report is missing information • 42% of nurses feel that distractions cause miscommunications during report 4
- 5. Bedside Report … a few things 5 Bedside report consists of things normally given in handoff report. Hypersensitive information can be shared before entering or upon leaving the room. Most report information can and should be given at the bedside
- 6. A Conduct AIDET. Acknowledge the patient by name when entering the room. I The off going nurse reintroduces him/herself then introduces and MANAGES UP the oncoming nurse D The off going nurse gives a timeframe for how long report should take (duration). E The off going nurse explains what is taking place, to “keep you informed about your care”, or to “include you in all decisions regarding your care and treatments”. Prior to any confidential medical information being exchanged, if guests are present in the room ask them to move temporarily to the waiting area during report time (invite them to return in approximately 10 minutes).* *The patient is welcome to then ask any guest to remain in the room to listen and participate in report. T Always end by thanking the patient and guests, asking if there is anything else we can do for them while we’re in the room. Give a timeframe for when you anticipate returning. Bedside Report … How 6
- 7. Safety: • Check name and allergy armbands, using key words “for your safety” • Stand on each side of the bed across from each other if possible • Use soft voice, audible enough for the patient to hear and understand clearly but not loud enough for others to overhear unnecessarily • Give handoff report as usual: SBAR format, history, assessment, updates from the shift, applicable test results, medication schedule, and nursing orders • Perform 2‐person visual checks: incisions, dressings, tubes, equipment, skin, etc. • Use applicable EHR, kardex and computer, for handoff reporting verification of orders Bedside Report … How 7
- 8. Informed: • Invite patient into the conversation, encourage patient to express concerns • Discuss with patient the plans for the day, and write on the white board • Discuss new medications and side effects • Address pain, and discuss treatment plan with patient, include options and goals, and write on the white board • Discuss discharge planning needs as appropriate Bedside Report … How 8
- 9. Return on Investment Bedside Shift Report • Decrease call light usage • Reduce patient falls during shift change • Reduces medication errors / unit acquired HAPU • Increase staff nurse satisfaction • Reduce nurse overtime • Less time spent in shift report 9
- 10. Confidentiality “We protect the privacy of our patients.” – Our concern for HIPAA should not prevent us from forming a partnership with the patient and family – Is a constant concern in an open environment, not just during report and rounds Environment – Should not be a deterrent to safe, patient and family- centered care – Personal and private information is shared throughout the day New information / sensitive topics – Plan ahead … share confidentially with each other away from the patient, before or after bedside report I don’t know how to do this – or – uneasiness when talking in front of patients – This is a culture change for us, and a new practice takes time to get more comfortable doing it – It will get easier over time, and will become the norm for handoff communication Bedside Report …Concerns and Challenges 10
Editor's Notes
- Standing on either side of the bed places the patient at the center of report. When doing the 2-person checks, look under the covers, and use this time to reposition patient. Both caregivers jointly complete the assessments, and enables all to engage in collaborative dialogue about the patient’s care.
- Encourage patient to express concerns. This can be a teach-back opportunity by the patient, especially regarding new medications, and discharge needs or plans.
- Please see article in September 8, 2011 issue of Baylor Progress: “Striking the Right Balance Protect patient privacy while opening access for loved ones” http://www.inboxgroup.net/baylorprogress/e_article002204863.cfm?x=b11,0,w Below is an excerpt copied from the article: Sharing Protected Health Information Never assume it is okay to discuss or disclose Protected Health Information (PHI) in the presence of others unless you are first sure they are authorized to be privy to such information. “It is appropriate to ask family and/or visitors to step out of the room when you need to discuss a patient’s health information if you’re not sure they are authorized to be privy to the information,” says Marty Edwards, corporate compliance specialist for Baylor. Patients and their designated health care decision makers have the right to request that their health information not be disclosed in the presence of others. “Unless a patient tells you differently, assume they do not wish to have their PHI discussed in front of others,” says Edwards. Keeping PHI private Avoid discussing sensitive or hypersensitive information (for example, HIV, drug use or mental illness) in the presence of other patients and their family members and friends. Excuse friends and family members from the patient’s room to discuss these issues, unless their presence has been authorized by the patient or his or her decision maker. At the bedside, speak with the proper tone and volume so only the individuals to whom you are speaking can hear. If you are speaking to the patient’s designated health care decision maker, stand near them and speak to them as directly as possible. Always speak to the patient, if alert, from the head of the bed, not the foot of the bed.