Bedside Report Essay
In this candidate’s facility, shift report is being done away from the patient bedside, usually at the nurses’ station, in a doctor’s charting room or outside of the patient’s room in the hallway. When a patient is admitted to Women’s Services at this candidate’s hospital, a flier is placed in the admission folder with the title “Our Promise to our Patients…” The first two bullet points outline our promise to include the patient and their family in all aspects of their care plan. One of those aspects is including the patient and their family—if the patient wishes to include their family—in a bedside report.
The Institute for Patient and Family Centered Care has four core concepts for patient and family centered care. The first one is respect …show more content…
This candidate has been observing that once the directive has been given for bedside report, that the staff nurses begrudgingly follow through only if they are asked to do it or if leadership staff is on the unit. The nurse manager has also noted that if the nursing staff notes her presence during report being done away from the bedside, they will move into the patient’s room to complete the report.
Eventually, the interest in bedside report dies down, leaving only lukewarm attempts at introductions of on-coming staff by off-going staff to the patient after shift report has been done away from the bedside, this called a warm hand-off. This candidate experienced this lack of interest just recently after being gone on medical leave for 6 weeks. It was suggested to the off-going nurse by this candidate that report be done at the bedside. This suggestion was not only met with resistance but was completely denied. The unit had experienced a very high volume of patients as well as many discharges and the off-going nurse explained that she had a lot of charting to finish up and just didn’t want to take the time to do bedside report. Out of the three nurses that I received report from, only one agreed to perform bedside report and that was only because she was administering pain medication and it was
The Institute for Patient and Family Centered Care has four core concepts for patient and family centered care. The first one is respect …show more content…
This candidate has been observing that once the directive has been given for bedside report, that the staff nurses begrudgingly follow through only if they are asked to do it or if leadership staff is on the unit. The nurse manager has also noted that if the nursing staff notes her presence during report being done away from the bedside, they will move into the patient’s room to complete the report.
Eventually, the interest in bedside report dies down, leaving only lukewarm attempts at introductions of on-coming staff by off-going staff to the patient after shift report has been done away from the bedside, this called a warm hand-off. This candidate experienced this lack of interest just recently after being gone on medical leave for 6 weeks. It was suggested to the off-going nurse by this candidate that report be done at the bedside. This suggestion was not only met with resistance but was completely denied. The unit had experienced a very high volume of patients as well as many discharges and the off-going nurse explained that she had a lot of charting to finish up and just didn’t want to take the time to do bedside report. Out of the three nurses that I received report from, only one agreed to perform bedside report and that was only because she was administering pain medication and it was