Bedside Rounding: Improving Patient Care and Safety
Bedside Rounding: Improving Patient Care and Safety
Purpose:
* PATIENT SAFETY * Reducing preventable errors resulting in facility acquired illness/injury * Reducing increased healthcare costs related to errors due to inadequate shift change reports * Involving patients in their own care by allowing them to be involved in their own report during shift change * Reducing barriers to communication between patient, family, and staff
Benefits: * PATIENT SAFETY * Allows nurse to visualize patient immediately and attend to physical/safety needs * Improves staff interaction and builds teamwork/communication * Enhances accountability among staff * Nurses can be more prepared to answer physician questions * Enables prioritization of care * Enhances communication between staff/families/patient * Allows for “real-time conversation” * Patients feel more comfortable asking questions when they see the whole healthcare team working together * Allows for ease of transition of nurses during shift change; oncoming nurse is introduced to patient by offgoing nurse
Implementation:
* Needs support of administration * Need nurses to be willing to help develop bedside reporting guidelines * Give literature to nurses on bedside rounding * Provide teaching to patients/nursing staff prior to initiation * Provide time for nurses to become familiar with new report
Sheets
* Use a shift report handoff sheet such as the SBAR (T) format
Process:
* Inform patients approximately 30 to 60 minutes prior to shift change of bedside rounding procedure * Ask permission for family to be present during report or ask family to step out of the room to ensure privacy/confidentiality * Oncoming nurse reviews assignment sheet; medical history, etc. before going to bedside * Outgoing and oncoming nurse goes to bedside together, and oncoming nurse is introduced to patient * Oncoming nurse listens to
Purpose:
* PATIENT SAFETY * Reducing preventable errors resulting in facility acquired illness/injury * Reducing increased healthcare costs related to errors due to inadequate shift change reports * Involving patients in their own care by allowing them to be involved in their own report during shift change * Reducing barriers to communication between patient, family, and staff
Benefits: * PATIENT SAFETY * Allows nurse to visualize patient immediately and attend to physical/safety needs * Improves staff interaction and builds teamwork/communication * Enhances accountability among staff * Nurses can be more prepared to answer physician questions * Enables prioritization of care * Enhances communication between staff/families/patient * Allows for “real-time conversation” * Patients feel more comfortable asking questions when they see the whole healthcare team working together * Allows for ease of transition of nurses during shift change; oncoming nurse is introduced to patient by offgoing nurse
Implementation:
* Needs support of administration * Need nurses to be willing to help develop bedside reporting guidelines * Give literature to nurses on bedside rounding * Provide teaching to patients/nursing staff prior to initiation * Provide time for nurses to become familiar with new report
Sheets
* Use a shift report handoff sheet such as the SBAR (T) format
Process:
* Inform patients approximately 30 to 60 minutes prior to shift change of bedside rounding procedure * Ask permission for family to be present during report or ask family to step out of the room to ensure privacy/confidentiality * Oncoming nurse reviews assignment sheet; medical history, etc. before going to bedside * Outgoing and oncoming nurse goes to bedside together, and oncoming nurse is introduced to patient * Oncoming nurse listens to
Cited: Baker, S. (2010). Bedside shift report improves patient safety and nurse accountability. 36(4), Retrieved from www.jenonline.org Laws, D., & Amato S. (2010). Incorporating bedside reporting into change-of-shift report, 35(2), 70-74. Rush, S. (2012). Bedside reporting: dynamic dialogue. Nursing management, Retrieved from www.nursingmanagement.com