Brenda S Hood, APRN-CNS, MS, CCNS
Clinical Nurse Manager PCCU
brenda.hood@integrisok.com
Objectives
 Background of shift reports
 How it all began
 Getting it started
 Benefits of bedside nursing
 Evaluation
Shift Report
 A communication process between two shifts of nurses
that conveys pertinent patient information and
facilitates the continuity of patient care
 The Joint Commission on Accreditation of Health Care
Organizations identified communication failures as
the leading cause of sentinel events in the United
States and lists shift report as a contributing factor
(Healthcare Benchmarks and Quality Improvement
{HBQI}, 2002a, 2002b; JACHO, 2000)
How it all
began:
Nick’s Story
Bedside report
being done at a
veterinarian clinic
How it all began
 ISMC Manager meeting discussing bedside report to
increase our patient satisfaction scores
 Discussed other ways to communicate with
patient/family (Picture board, white boards, etc.)
 Review of local facilities, including Tulsa hospital,
doing bedside report
 Consistent high patient satisfaction scores
Before Bedside reporting
 Inconsistencies in information shared
 Shift report lasting longer than 30 minutes
 Resulting in overtime and staff dissatisfaction
 No formal structure or guidelines
 All nurses in conference room giving report
 Lapse of time before patient sees a nurse
Getting Started
 Staff meeting
 It is all in the presentation
 Allowing staff to voice their concerns
 Perceptions of bedside rounding
 Champions of bedside report
 Leadership team, including team managers and charge nurses
 Set a start date and time
 April 1, 2010 at 0700 shift report
 Big production was made on the start date

Clipboards, pens, breakfast, buttons
Part of Our Team
Staff Info
Cards
There are always two sides
 Advantages
 Accountability
 Visualization of patient
by both nurses
 Patient satisfaction

Involves the patient in
their care
 Nurse satisfaction
 Disadvantages
 Ongoing process
 Audits
 Sleeping Patient
 Process changes
 Multiple nurses to give
report to
Forms We Use
Sticker
DX
Isol
Code Status
Consults
Core Measure
Yellow Band: ( )
Red Band: ( )
HL
O2
Tele:
Activity:
Diet
Lab:
Hx:
Vitals/FSBS:
Wounds/Dressings:
Tubes/Drains:
PRN:
Proced:
Outcomes of Bedside Report
 Increase in Patient Satisfaction
 Increase in Satisfaction of Nurses
 Decrease in overtime
 Decrease in rapid assessment team calls
• Role play bedside report
• Standardized report sheet
• 12 hour chart checks
• 100% utilization of updating white boards during bedside
report
• Engaging family and patient in bedside report
• Consider other modalities to include in process (RT, PT, etc.)
QUESTIONS?????