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Bedside Shift Report
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Bedside Shift Report
PLAN
- Improved patient perception of care.
- Improved workflow for RNs
- Improved patient safety
PLAN
Patient perception of care
Perception of patient care
-Bedside shift report eliminates that alone time and gives the patient a feeling of inclusion with the nurses as part of the healthcare team.
-By listening to the report, the patient learns about the care plan and goals and the patient is acknowledged as a partner.
- Decreases patient and family anxiety and improves patient satisfaction (Bedside Shift Reports Can Save Lives, 2017).
Workflow for RNs
- Efficiency of reporting.
- Improve staff teamwork by giving nurses the opportunity to work together at the bedside, ensuring accountability.
- Reduces the risk of miscommunication.
- Helps the oncoming nurse prioritize assignments according to need.
- Nurses are always on the same page during the report because they're both looking at the same information and patient at the same time (Bedside Shift Reports Can Save Lives, 2017).
Patient Safety
- Reducing medication errors (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014).
- Reducing patient falls (McAllen Jr, Stephens, Swanson-Biearman, Kerr, & Whiteman, 2018).
DO/ACT
- Introduce tool to eliminate writing (Kardex)
- Introduce oncoming nurse to patient and family
- Review plan of care with patient
- Brief visual assessment of patient
- Update communication board
- Allow patient input or goals for their stay
- Allow questions from patients and families
DO/ACT
Kardex
Kardex Tool
CHECK
1. Set expectation for nurses and patients. 2. Leader rounding/checkoffs
3. Discharge phone calls/ patient satisfaction questions.
4. Quarterly surveying of staff.
References
Bedside Shift Reports Can Save Lives. (2017, November 17). Lippincott Solutions. Retrieved from http://lippincottsolutions.lww.com/blog.entry.html/2017/11/27/bedside_shift_report-dMev.html
Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014, October). Bedside shift reports: what does the evidence say? PubMed. doi:10.1097/NNA.0000000000000115
McAllen Jr, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018, May). Moving Shift Report to the Bedside: An Evidence-Based Quality Improvement Project. The Online Journel of Issues in Nursing. doi:10.3912/OJIN.Vol23No02PPT22