4. Can you think of a reason?
Research
Provides safer care for patients.
Increases patient satisfaction.
More patient centered than the traditional hand off
report.
Meets three National Patient Safety Goals(NPSG).
5. Joint Commission’s NPSG’s
1. Improve the accuracy of patient identification.
2. Improve the effectiveness of communication
among caregivers.
3. Encourage patient’s active involvement in their
own care.
6. Advantages of Bedside Report
Builds teamwork
Ownership and accountability
Brief assessment/Environmental check
Allows one to view other’s work
Patient involvement
7. Advantages for Patients
Able to voice concerns and ask questions.
Plan interventions and set goals with their
caregivers.
Able to meet caregiver at the beginning of each shift.
8. Obstacles of Beside Report
Patient’s status and condition
High acuity
Confidentiality
Time management
Effective communication
9. How can we overcome the obstacles of
bedside report?
11. Use of SBAR(T)
1. Situation:
Off-going nurse – say goodbye to patient.
On-coming nurse – introduction with AIDET.
2. Background:
Off-going nurse – brief update of patient’s plan
of care.
Oncoming nurse – answer patient’s questions.
12. SBAR(T)
3. Assessment:
Off-going nurse – explain and inform.
On-coming nurse – quick physical and
environmental assessment.
4. Recommendation:
Off-going nurse – review the plan of care.
On-coming nurse – validate the plan of care and
ask questions.
13. SBAR(T)
5. Thank the Patient:
Off-going and On-coming nurse – before
leaving the room ask the patient questions.
Use Closing Key Words:
“ Ms. X will take good care of you.”
“Is there anything you need right now?”
14. References
Baker, S. (2010). Bedside shift report improves
patient safety and nurse accountability. JEN:
Journal of Emergency Nursing, 36(4), 355-358.
Caruso, E. (2007). The Evolution of nurse-to-nurse
bedside report on a medical-surgical cardiology
unit. MEDSURG Nursing, 16(1), 17-22.
McGovern, W. , & Rodgers, J. (1986). Change theory. The
American Journal of Nursing, 86(5), 566-567.
Trossman, S. (2009). Shifting to the bedside for
report. American Nurse, 41(2), 7.
Notas del editor
Report is handed off to the next nurse at the bedside in front of the patient. Family members, friends, or other team members may be present. Ask patient if they would like the report to be private.
Wait for a reply from the class.
Communication is improved which has been shown to decrease errors. Patient satisfaction has been shown to improve because patient’s feel like they know what is going on. Patient’s and families are involved in the POC.
Both nurses can check the patient’s identification, along with the PCA settings per policy. Verify information with nurse in front of the patient, chart. Empower patients to become involved in the care.
Nurses work together to provide the best care possible. Off-going nurse becomes responsible and accountable for the patient’s POC, pending tasks. On-coming nurse is able to do a brief assessment during report, including checking IVF, drains, tubes, dressings, etc.On-coming nurse can ask about overdue tasks, duties.
Tell class the story about when I received a bedside report and the wrong information was given to me by the nurse according to the family.
Wait for replies from the class.
Explain to the patient what bedside report is and their role. Ask questions after report is finished.Lead nurses should divide heavy loads between all nurses.Practice!Trial run will be done with a group of day and night nurses. Share communication techniques and good “catch” stories.
Assessment: inform about your assessment; tasks; follow-up care; check patient; IV sites; IV pumps; pain level/comfort. Recommendation: Review orders, POC, relevant info like medications, other support departments involved; patient questions.
Thank you: Ask the patient about their comfort level, understanding the POC, any concerns? Off-going nurse: thank the patient.On-coming nurse: Let the patient know that you will return at a later time.