BEDSIDE SHIFT REPORT IN EMERGENCY ROOM BY MELISSA

BEDSIDE SHIFT REPORT IN EMERGENCY ROOM BY: MELISSA MORALES

PRACTICE BEFORE IMPLEMENTATION � PRIOR � � TO JANUARY 5, 2015 IN OUR HOSPITAL, IN OUR UNIT EMERGENCY DEPARTMENT, SHIFT REPORT WOULD TAKE PLACE IN THE NURSES STATION BY ONCOMING AND LEAVING SHIFT AT NO POINT DID BOTH NURSES WENT TO PATIENTS ROOM TO VERIFY THE “SHIFT REPORT” WAS ACCURATE AND MUCH LESS WAS THE PATIENT INVOLVED. ON JANUARY 5, 2015, BEDSIDE SHIFT REPORT WAS IMPLEMENTED AND THERE WAS 100% NURSE COMPLIANCE AS MANAGEMENT WERE MONITORING THAT NURSES DID BEDSIDE SHIFT REPORT THIS MADE THE IMPACT IN COMMUNICATING MORE EFFECTIVELY AND DECREASED MISCOUMMNICATION AND INCREASED CUSTOMER SERVICE PERCENT AS PATIENTS WERE NOW MORE INVOLVED IN THEIR CARE. INCREASED CUSTOMER SATISFACTION SCORES INCREASED

CONT…. � � SBAR TOOL, OUR MANAGEMENT IMPLEMENTED THE SBAR TOOL FOR NURSES TO USE WHILE BEDSIDE SHIFT REPORT WAS IMPLEMENTED. SBAR STANDS FOR SITUATION BACKGROUND ASSESSMENT RECOMMNEDATION

IMPLICATIONS FOR PRACTICE � RESEARCH SHOWS THAT BEDSIDE REPORT INCREASED PATIENT SATISFACTION BY HAVING THE PATIENT INVOLVED INTO THEIR CARE � RESEARCH ALSO SHOWS PATIENTS HAVE INDICATED POSITIVE OUTCOMES TOWARDS THE UNIT AS THEY WERE INVOLVED IN THEIR CARE

EVIDENCE BASED � RESEARCH DONE IN WILMINGTON HOSPITAL EMERGENCY DEPARTMENT FOR SIX MONTHS DONE BY TWO NURSES AND THEIR RESULTS WERE INCREASED IN PATIENT SATISFACTION AND POSITIVE PATIENT OUTCOMES. � ACCORDING TO THIS RESEARCH, At WILMINGTON HOSPITAL, BEDSIDE REPORT HAS BEEN DONE BY NURSES IN ABOUT 8590 PERCENT.

NURSE’S PERSPECTIVE � SOME MAY BE PRO AND SOME ARE CON � PRO’S: INCREASES COMMUNICATION AND ACCOUNTABILITY � CON’S: THE TIME TAKEN TO GIVE BEDSIDE REPORT MIGHT TAKE FEW MORE MINUTES THAN WHAT REPORT WAS GIVEN BEFORE.

CONS � ACCORDING TO RESEARCH CONDUDECTED THEY FOUND SOME CON’S TO BEDSIDE REPORT � POSSIBLY SHARING DIAGNOSIS OF THE PATIENT WHEN THEY HAVE NOT BEEN TALKED BY THE DOCTOR � PATIENT PRIVATE INFORMATION SHARED � VISITORS OR NO VISITORS PRESENT ON REPORT

PROS’S � INCREASES PATIENT SAFETY � INCREASES STAFF AND PATIENT COMMUNICATION � INCREASES PATIENT POSITIVE OUTCOMES � PATIENT INVOLVED IN THEIR CARE � INCREASES NURSE TO NURSE ACCOUNTABILITY

RESULTS SINCE IMPLEMENTATION � PATIENT � � � SATISFACTION SCORES PRIOR TO IMPLEMENTATION PATIENT SATISFACTION SCORE WAS 65. 7% AT THREE MONTHS OF IMPLEMENTATION THE PATIENT SATISFACTION SCORE APPROXIMATELY 90% OF THE NURSES IN THE UNIT COMPLETE THEIR SHIFT REPORT AT BEDSIDE MANAGEMENT SUPPORTS BEDSIDE SHIFT REPORT AND CONSTANTLY MAKE ROUNDS TO ENSURE NURSES ARE COMPLETING THEIR BEDSIDE REPORT CURRENTLY AS OF MAY 2015 ED HAS THE HIGHEST CUSTOMER SATISFACTION SCORES, HUGE INCREASE SINCE LAST YEAR, WE HAD THE LOWEST SCORES OF CUSTOMER SATISFACTION

CONCLUSION � RESEARCH ON BEDSIDE REPORT CONTINUES TO SHOW BETTER DATA, THERE IS A GAP IN LITERATURE THAT DEFINES WAY TO MEASURE EFFECITVENES OF BEDSIDE REPORT � INCREASES PATIENT SATISFACTION SCORES AS PATIENTS ARE HAPPY TO BE INVOLVED IN THEIR OWN CARE

REFERENCES � � Isabel, P. , & Nicole, M. (2014, August 1). Let's chat: Bedside reporting in the ED. Nursing 2014. Pamela M. , & Kelly M. , D. (2012, June 1). Bedside Nurse-to. Nurse Handoff Promotes Patient Safety. MEDSURG Nursing. Bedside shift reporting process improves patient safety and satisfaction. (n. d. ). Retrieved February 10, 2015, from http: //www. christianacarenews. org/2012/01/bedside-shiftreporting-process Nurse Bedside Shift Report; Implementation Handbook. (n. d. ). Retrieved February 10, 2015, from http: //www. ahrq. gov/professionals/systems/hospital/engagingfamil ies/strategy 3/Strat 3_Implement_Hndbook_508. docx