1 hours ago · Presentation Transcript. Bedside report Deena Clevenger BSN, RN and Sheila Connelly MSN, RN. Top reasons for bedside report • Patient safety • Patient satisfaction • … >> Go To The Portal
Strategy 3 states: “The goal of the Nurse Bedside Shift Report strategy is to help ensure the safe handoff of care between nurses by involving the patient and family. The patient defines who their family is and who can take part in bedside shift report.” 7
The aims of this quality improvement project were to successfully implement a modified bedside handoff model, with some report outside and some inside the patient's room, in a postpartum unit. A structured educational module and champion nurses were used.
The authors have disclosed that they have no financial relationships related to this article. BEDSIDE SHIFT REPORT (BSR) can save lives. According to the Inspector General Office, Health and Human Services Department, less-than-competent hospital care contributed to the deaths of 180,000 Medicare patients in 2010.
TYPES OF TRANSFER TRANSFER OF A PATIENT FROM ONE UNIT TO ANOTHER IN SAME HOSPITAL. TRANSFER OF A PATIENT FROM ONE HOSPITAL TO ANOTHER. 4. STEPS OF TRANSFER FROM ONE UNIT TO ANOTHER IN SAME HOSPITAL. 1) WRITTEN ORDR BY PHYSICIAN. 2) INFORM PATIENT AND FAMILY. 3) INFORM WARD INCHARGE OF ANOTHER UNIT / WARD.
Learning Objectives 1. The audience will be able to identify the current practice for reporting 2. The audience will be able to describe the benefits of bedside reporting on patient satisfaction 3. The audience will be able to list the benefits of bedside reporting for nurses 4. The audience will be able to describe why nurse satisfaction is ...
Report should take about 3-5 minutes per patient
The ultimate goal of patient and family engagement is to create a set of conditions where patients, family members, clinicians, and hospital staff are all working together – as partners –to
Getting patients and families to like us (it is about improving quality and safety by communicating and partnering more effectively)
Involvement – encouraging and supporting patients and families in care and decision making at the level they choose
This partnership is important, because health care quality and safety have a direct effect on patients and families. It makes sense that we should ask patients and family members to take part in changes and improvements.
It is important to know that because bedside shift report is part of treatment and normal operations, it does not violate HIPAA.
The provider on the far side of the bed will push the patient.
If the patient can bear weight on both lower extremities and predictably take small steps, a one-person assist may be performed. If these criteria are not met, a two-person transfer or a mechanical lift may be necessary to safely transfer the patient. If transferring a patient from a bed to a wheelchair, first complete the pre-transfer checklist and proceed according to the following steps:
Bring the stretcher to the side of the bed near the patient and position the stretcher slightly lower than the bed. Lock the brakes of the stretch er.
Patient care transfer can be defined as moving a patient from one flat surface to another. The most common patient transfers are from a bed to a stretcher and from a bed to a wheelchair. While seemingly intuitive, successful patient transfers rely on understanding each patient’s specific needs while simultaneously adhering to evidence-based guidelines. Patient care transfer can also be defined as transferring patients within the same facility and between facilities.[1][2]
Once the patient is standing, have them walk a few small steps backward until feeling the wheelchair’s back against the legs. Ask the patient to grasp the wheelchair.
Sit patient on the side of the bed with the legs off of the bed and the feet squarely on the floor. If necessary, attach a gait belt/walking belt around the patient’s waist.
Meanwhile, the providers at the head and foot of the bed will ensure that the patient is secured, lifting the head/shoulders and feet, respectively.
1 care of postpartum. 1. Care of the Mother During the Postpartum Period. 2. Nursing Care of the Mother • Mother means; - Postpartum women - Puerperial women - After childbirth women • The puerperium is the period beginning after delivery and ending when the woman’s body has returned as closely as possible to its prepregnant state.
Promoting Postpartum Health Maintenance 1. Teach the woman to perform perineal care-warm water over the perineum after each voiding and bowel movement routinely several times a day to promote comfort, cleanliness, and healing. 2. Promote sitz baths for the same purpose.
Exercises for the later postpartum period can be done after the first postpartum visit. 34. postpartum exercises (1) Bicycle (tightens thighs, stomach, waist)-Lie on your back on the floor, arms at sides, palms down.
13. Contributing factors of postpartum blue/depression Difficult of Coping with: a. The physical changes and discomforts of the puerperum, including a need to regain their prepregnancy figure. b. Changing family relationships and meeting the needs of family members, including the infant. c. Fatigue emotional stress, feelings of isolation, and being “tied down.” d. A lack of time for personal needs and interests.
Mature milk secretion is usually present by the third postpartum day but may be present earlier if a woman breastfeeds immediately after delivery. d. Breast engorgement with milk, venous and lymphatic stasis, and swollen, tense, and tender breast tissue may occur between days 3 and 5 postpartum. 9.
Word and PowerPoint files are provided so that hospitals can tailor them for their organizations.
Nurse shift changes require the successful transfer of information between nurses to prevent adverse events and medical errors. Patients and families can play a role to make sure these transitions in care are safe and effective.
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.
Patient satisfaction also increased because the nurses included them in their daily and discharge goals. The final aim was to increase staff satisfaction with bedside handoff by 10%, which resulted in an increase of 40.3%, far exceeding the project goals. Literature review during education sessions rein- forced the benefits of conducting handoff at the bedside, which supported staff buy-in to the pro- cess.8In addition, the Modified Bedside Handoff Tool gave staff a structured format to follow for handoff and helped to eliminate unnecessary and time-consuming discussions that would lead to longer reporting times.22
Despite the need to have a bedside reporting struc- ture in place, sustainability of bedside reporting after implementation is often compromised.8There are many reasons that can undermine the sustainability of bedside reporting. Nurses have traditionally used centralized report that occurs at the nurses station,9
Standardized methods of handoff do not fit in every patient care setting. The aims of this quality improvement project were to successfully implement a modified bedside handoff model, with some report outside andsome inside the patient’s room, ina post- partum unit.
Nurses are always on the same page during the report because they're both looking at the same information at the same time. 12. The patient benefits from BSR too.
The nurse is accountable for the communication that occurs during the change-of-shift report. This is the time that the nurse can verify the patient's health history, physical assessment findings, and plan of care, including prescribed medications.
Federwisch gives an example of how BSR saved a patient's life at one facility. 9 A postoperative patient prescribed patient-controlled analgesia was given an antiemetic at 1910 just before change of shift. When two nurses entered her room at 1920 for the BSR, her respiratory rate had dropped to 6 breaths/minute. One nurse stayed in the room while the other obtained and administered naloxone as per protocol. The patient quickly recovered without complications. Had the nurses been engaged in traditional shift report away from the patient, the result could have been tragic.
By definition, BSR is the change-of-shift report between the offgoing nurse and the oncoming nurse that takes place at the bedside. This makes patients a part of the process in the delivery of their care.
The Agency for Healthcare Research and Quality (AHRQ) defines BSR as “an opportunity to make sure there is effective communication between patients and families and nursing staff.” It also states that one of the rationales for BSR is the creation of an environment where patients, families, clinicians, and hospital staff work together to improve the quality and safety of care. 7 Research has shown that when patients are that third voice engaging in decisions that impact their health, measurable improvement in safety and quality result. 8
Because nurses are the first line of defense when it comes to patient safety, BSR is an integral part of the care plan. The nurse is accountable for the communication that occurs during the change-of-shift report.
According to the Inspector General Office, Health and Human Services Department, less-than-competent hospital care contributed to the deaths of 180,000 Medicare patients in 2010. However, the real number may be higher: According to one estimate, between 210,000 and 440,000 patients who go to ...