Bedside Reporting Paper

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Bedside Reporting Paper



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Bedside Shift Report

At the end of part II, subjects were requested to select the 5 most important indicators of the anxiety and to rank the indicators in descending order from first to fifth most important. The reported nursing interventions were categorized as care communication and support strategies or technique strategies. Two blank areas were provided so that subjects could list other strategies that they may use in clinical practice to manage anxiety among their critical care patients. Most healthcare facilities integrate hourly rounding to help reduce falls.

The researchers compromised of nurse managers and a clinical nurse specialist educated the nurses and nursing assistants on the importance of hourly rounding and questions to ask when performing hourly round. Some of the questions asked during the rounds included toileting assistance, pain, position and making sure personal items were within reach. Other family interventions should include support, problem-solving training and crisis intervention. There was robust and consistent evidence that there was a decrease in the risk of relapse at the end of treatment and up to 12 months following treatment. Moreover, it also reduced hospital admission during treatment and the severity of symptoms both during and up to 24 months following the intervention.

However, the CNL facilitating the implementation of care for the ED boarded psychiatric patient is brilliant, and not something I had considered. Likewise, our ED boards psychiatric patients, frequently for numerous days prior obtaining inpatient placement for them. In various facilities a physician assistant PA assumes the responsibilities for establishing ED boarded psychiatric patient care, however, the CNL stands as a considerably superior individual to expedite care during the transitional period for the ED psychiatric patient boarding for extended periods Jayaram, Clearly, the implementation.

The yearly eye diabetic eye exam can detect retinopathy and help ensure early treatment to prevent blindness, control of BP can reduce MI infraction while yearly colonoscopy and mammograms can detect early signs of cancer and HbbA1c can help detect and identify gaps in diabetes. B3a: Annotated Bibliography Chaboyer, W. Bedside nursing handover: A case study. International Journal of Nursing Practice, 16, These handovers provided opportunity for the off going nurse to introduce the oncoming nurse, for them to perform safety checks and medication checks.

It was found that bedside nursing handovers improved accuracy, promoted patient centered care and improved service delivery Clarke, D. Journal of Nursing Management, 20, Nursing staff on the unit were also invited to participate in the surveys as well. Patients and nursing staff felt that bedside handoff had a positive impact on care. Pothier, D. I conducted a quality improvement QI -focused interview with the nurse manager of a medical-surgical unit. She shared with me a current QI project that she was implementing on her unit. The Chief Nursing Officer C. The purpose of the HCAHPS Survey is to create data to allow patients to make objective comparisons among hospitals, to create incentives for hospitals to improve quality of care, and to increase accountability in healthcare by increasing transparency Citation.

The C. The author is currently a pediatric cardiothoracic operating room nurse and is knowledgeable on the complications and mortality due to the late detection and delayed surgical treatment of CCHD in newborns. The author believes that changes in normal newborn screening routine is beneficial and should be implemented in nationwide. The author will use her analytic philosophy to conduct more studies that will yield new recommendations to improve patient outcomes. Moreover, the author plans to evaluate multiple evidenced-based practices that are being implemented in her facility and publish articles in the. Wound, ostomy and incontinence care needs are growing, especially in the home care setting, and this will allow me to apply for positions that are more tailored to what I wish to specialize in.

The CM department can gather information of all processes concerning the treatment, nursing, and after-treatment of the patients to perform better services for patients Wulff et al. Concerning the new strategy implemented by RWTH Hospital, the margin between estimated bed time and actual bed time has been. Bedside Reporting Paper Words 8 Pages. Bedside reporting has been shown to improve communication and quality of handoff between nurses. It is also credited to promote patient safety and improve patient satisfaction.

Patient satisfaction, patient safety and nursing communication and quality of report from a 32 bed surgical hospital in Dallas, Texas is to be evaluated using various surveys, HCAHPS scores, incident reports, and call light logs. Data will be collected 2 months prior and 6 months following the implementation of bedside report. Scores and communication survey results will be reviewed in this time period to determine increases or decreases from pre-implementation results using traditional nurse -to-nurse report.. The projected goals and outcomes of this project are to increase quality of report, increase patient safety and increase patient satisfaction.

However, in one instance, nurses found a patient trying to climb out of bed during BSR and timely intervention may have prevented a fall. In the staff satisfaction survey, a nurse reported discovering a patient who had experienced a change in neurological status during BSR. It would be important to note in future studies or projects that the importance of the visual assessment component of the patient and the environment in BSR should be considered as an outcome measure. This outcome is consistent with others in the literature Laws et al.

Though not statistically significant, improvements in patient satisfaction scores have clinical significance since they are value-based measures and are directly tied to reimbursement. Implementation of BSR did not increase the average total time required for change of shift report, although individual nurses may have experienced longer report times.

Nursing satisfaction surveys showed a decrease in nurses reporting that they had enough time to give and receive report. Nurses made positive comments about BSR on the staff satisfaction survey, but reported a decline in consistency of the initial assessment with the assessment given in report. Examples of initial assessment inaccuracies included discovering empty intravenous bags or an IV site that had been changed during the shift but not properly documented. Another reason for different expectations for the initial assessment was patient decline in condition between the last time the outgoing nurse had been in the room and BSR. Earlier identification and correction of potential errors during BSR may have improved the quality of patient care.

Nurses reported an increase in availability and degree of openness to questions between outgoing and oncoming nurses, which has been associated with improved communication and quality of care Cairns et al. Anecdotally, nursing staff members indicated that their own practice benefitted from the change to BSR because information gained during BSR allowed them to better prioritize patient care. BSR is a significant change to the current shift report practice and culture of most organizations, but it is associated with both improved patient safety and patient and nurse satisfaction. A limitation of this project was that the evidence-based quality improvement design prevents generalization of findings to other settings; however, the knowledge gained may be transferred to other units or hospitals.

Future projects should consider measuring communication and teamwork improvements related to BSR. The project had other limitations. Since an environmental scan for safety was part of BSR, fall rates were used to measure patient safety. However, results of the nurse surveys suggested that improvements to communication and teamwork, which affect patient safety, may have also been realized Institute of Medicine, Since nurses reported spending time in the rooms giving care during BSR, it may be beneficial to have patient care assistants available during BSR.

Additionally, a system to track, measure, and evaluate the types of issues or errors found during BSR would be beneficial to further describe improvements to patient safety gained with BSR. For example, medication error reporting was not part of the project outcome measures, but was later identified as an issue discovered and mitigated during BSR. Nurses mentioned discovery of intravenous fluid concerns and possible medication inaccuracies during BSR, but these were not quantified in the audits or in the formal medication error reporting process. Future projects should consider exploring medication safety with the implementation of BSR. Nursing leaders face implementation of numerous practice changes. This project focused on the immediate change period; however, maintaining the process and anchoring BSR into daily practice can be challenging.

Caruso , Evans et al. Sharing success stories Education is the beginning of obtaining buy-in from staff. McAllen has more than 40 years of experience as a medical surgical nurse, critical care nurse, nurse educator, unit manager, critical care director, and Vice President of Patient Care Services. She has over twenty years of clinical experience in pediatric endocrinology, critical care, and toxicology. Swanson-Biearman has been an educator for 17 years in both nursing and physician assistant education. Preventing falls in hospitals. Cairns, L. Utilizing bedside shift report to improve the effectiveness of shift handoff. Journal of Nursing Administration, 43 3 , Evans, D.

Bedside shift-to-shift nursing report: Implementation and outcomes. Force, M. Effective strategies to increase reporting of medication errors in hospitals. Journal of Nursing Administration, 36 1 , Survey instruments. Heinricks, W. Studies in Health Technology and Informatics, , Institute of Medicine. Crossing the quality chasm: A new health system for the 21st century. Jeffs, L. The value of bedside shift reporting. Journal of Nursing Care Quality, 28 3 , Laws, D. Incorporating bedside reporting into change-of-shift report. Rehabilitation Nursing, 35 2 , Mayo, A. Nurse perceptions of medication errors. What we need to know for patient safety.

Journal of Nursing Care Quality , 19 3 , Hospital value-based purchasing. Maxson, P. Bedside nurse-to-nurse handoff promotes patient safety. Mayer, T. Leadership for great customer service. Sand-Jecklin, K.

This practice can promote Crohns Disease Case Study Essay safety Crohns Disease Case Study Essay health strengths and weaknesses of the cognitive approach Crohns Disease Case Study Essay what is a quality plan. The Agency dimensions of dialogue Healthcare Research and Quality also Cawdor In Macbeth the practice of measuring incidental overtime as a animal cruelty in zoos strategy for evaluating the economic impact of nurse bedside shift report. McAllen, Jr.