Presentation on theme: "Stephanie Stewart, RN Midtown Medical Center PACU."— Presentation transcript:
Stephanie Stewart, RN Midtown Medical Center PACU
Bedside reporting has been proven to improve patient satisfaction, increase their understanding of their condition and safety, and improve teambuilding of staff members (Rush, 2012). Consideration for PACU nurses to give bedside Report Northwest Memorial Hospital. (2012). [Nurses giving report]. Retrieved from http://ww2.nmh.org/oweb/MagnetDoc/04_ep_exemplary_professional_practice/ep1_narrative. htm http://ww2.nmh.org/oweb/MagnetDoc/04_ep_exemplary_professional_practice/ep1_narrative. htm
”Effective communication among health professionals is key to ensuring quality care in clinical practice” (Chaboyer, McMurray & Wallis, 20120, 27). Communication between nurses during a change in level of care is critical to the patients well being.
CLS Cartoonstock. (2010). Retrieved from http://www.cartoonstock.com/directory/r/respiration. asp http://www.cartoonstock.com/directory/r/respiration. asp Clear messages, use good listening skills, and watch body language Standardized report tool plus question/answer time for clarification
The Handoff Paints a picture of our patient Done between shifts, breaks or changes in the level of care Handoff reports are between care givers (ie tech-tech, nurse-nurse, CRNA-nurse etc.) Standardized form “SHARQ” tool at MMC
PACU to floor or ICU ◦ Call department to give report ◦ Wait to give report to the receiving nurse ◦ Give report to receiving nurse ◦ Transport the patient to the assigned room ◦ Rearrange room and/or equipment ◦ Await the receiving nurse to receive the patient ◦ Answer additional questions
Can be a frustrating process A Geneaology Hunt. February, 2011). Retrieved from http://agenealogyhunt.blogspot.com/2011_02_01_archive.html http://agenealogyhunt.blogspot.com/2011_02_01_archive.html TIME consuming Floor nurse often gets tied up with other patients care Give second “mini-report” No one “lays eyes” on a fresh post-op patient SO…
Respiratory System Compromised CLS Cartoonstock. (2010). Retrieved from http://www.cartoonstock.com/directory/r/respiration.asp http://www.cartoonstock.com/directory/r/respiration.asp Fall Risk due to Anesthesia and Pain Medications
Allows for a quick assessment of the patient’s status (including lines, patency of IV, surgical dressings, respiratory status, pain etc.) Provides an opportunity of accountability
Allows the patient the opportunity to ask questions Gives a smoother transition between levels of care Improves patient safety and satisfaction (Rush, S., 2012)
Improves HCAHPS scores Improves communication between departments Meets three National Patient Safety Goals ◦ Patient identification ◦ Improving communication between caregivers ◦ Increases patient involvement in their own care (The Joint Commission, 2013).
Some things are just HARD TO EXPLAIN without seeing first hand!
PACU STAFFING ◦ Must maintain certain ratio in PACU based on acuity ◦ Potential to slow OR flow if bedside report takes too long Floor STAFFING o Should be to where the receiving nurse can meet the PACU nurse and patient upon arrival, bedside for report o Floor charge nurse may have to take receiving nurses team to allow this to happen
HIPPA Violation ◦ Patient has the right to decide who listens to the report ◦ Non communicative patients We must follow our hospital privacy practices Must be discrete with sensitive/social information Nurses resistant to change
Study shown in several Kaiser Permanente hospitals with 100% compliance after seven months, bedside report took 1.5-5 minutes to complete (Lin, Hughes, Katica, Dining- Zuber & Plsek, 2011). Less than a normal “hold time” on the phone waiting to give report
At MMC, Adult services started bedside shift reporting a few years ago Well received ICU gives bedside reports to holding when bringing down a patient ER nurses give bedside report when bringing a patient to surgery
Establish a committee to design and implement change ◦ Nurse managers from PACU, ICU, Adult services and Pediatrics ◦ Nurse representatives Design a system that works between departments (Lin, Hughes, Katica, Dining-Zuber & Plsek, 2011)
All un-needed equipment removed from room and needed items in room prior to arrival PACU to have a daily assigned “floater” to take over care of the recovering patients left in PACU
Alliod, B. (November, 2013). A transformational approach for delivering patient hand-off report using a pull vs. push methodology. Retrieved from https://stti.confex.com/stti/bc42/webprogram/Paper59455.html https://stti.confex.com/stti/bc42/webprogram/Paper59455.html Chaboyer, W., McMurray, A., and Wallis, M. (2010). Bedside nursing handover: a case study. International Journal of Nursing Practice. 16. 27-34. Lin, M., Hughes, B., Katica, M., Dining-Zuber, C., Plsek, P. (2011). Service design and change of systems: human-centered approaches to implementing and spreading service design. International Journal of Design, 5(2). Retrieved from http://www.ijdesign.org/ojs/index.php/IJDesign/article/view/928/348#5 http://www.ijdesign.org/ojs/index.php/IJDesign/article/view/928/348#5 The Joint Commission. (October, 2013). Hospital: 2014 national patient safety goals. Retrieved from http://www.jointcommission.org/standards_information/npsgs.aspxhttp://www.jointcommission.org/standards_information/npsgs.aspx Rush, S. (January, 2012). Bedside reporting: dynamic dialogue. Nursing Management, 43(1). 40-44. Retrieved from http://journals.lww.com/nursingmanagement/Fulltext/2012/01000/Bedside_reporting__Dyna mic_dialogue.11.aspx# http://journals.lww.com/nursingmanagement/Fulltext/2012/01000/Bedside_reporting__Dyna mic_dialogue.11.aspx# Columbus Regional Healthcare. (2010). SHARQ Handoff Tool.