Fye, Maryann K, MSN, RN, CMSRN

Gemberling, Tracy, BA, RN, CMSRN

Heckman, Tracie, MSN, RN, CMSRN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingBedside Nurse Shift Report: An Opportunity toPartner with Our Patients and Families.Tracy Gemberling BA, RN, CMSRNLehigh Valley Health Network, Tracy.Gemberling@lvhn.orgMaryann K. Fye MSN, RN, CMSRNLehigh Valley Health Network, Maryann.Fye@lvhn.orgTracie Heckman MSN, RN, CMSRNLehigh Valley Health Network, Tracie.Heckman@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtGemberling, T., & Fye, M. (2010, October 20-25). Bedside nurse shift report: An opportunity to partner with out patients and families.Poster presented at: The Academy of Medical Surgical Nurses 19th Annual Convention, Las Vegas, NV.Heckman, T., & Gemberling, T. (2010, November). Bedside nurse shift report: An opportunity to partner with our patients and families.Poster presented at: The University of Pennsylvania Patient Safety Conference, Philadelphia, PA.Bedside Nurse Shift Report...An Opportunity to Partner with Our Patients and FamiliesLehigh Valley Health Network, Allentown, PennsylvaniaPre-implementation:•		Development	of	a	standard	“Report	Card”	for	utilization	by	all	RNs•		Completion	of	a	time	study	of	the	current	hand-off	between	care	givers	•		Completion	of	a	survey	regarding	the	nurses	comments	and	feelings	towards	a	change	in	the	current	handoff	report	process•		Education	for	all	RNs	regarding	Bedside	Nurse	Shift	Report	and	associated	evidence	to	support	best	practice•		Attendance	by	all	RNs	at	an	in-service	with	the	unit	educator	and	management	team	focusing	on	concerns	and	providing	a	case	scenario	of	Bedside	Nurse	Shift	Report•		Collaboration	between	the	Quality	Dept	and	pilot	unit	to	identify	areas	to	monitor	post	implementation•		Development	of	a	patient	education	brochure	that	addresses	the	handoff	processImplementation:•		Support	from	the	management	team	is	essential•		Coaching,	coaching,	coaching….	Key	to	success•		Time	study	was	completed	again	at	4	months	to	compare•		Staff	were	validated	on	their	handoff	report	6	months	post	implementation•		Updates	both	positive	and	areas	of	opportunity	were	sent	to	the	staff	weekly	for	the	first	6	weeksMeasurements:•		Incidental	Overtime	Dollars•		Patient	Satisfaction	Scores	•	Nurse	Sensitive	Quality	Outcomes•	Staff	Attitude	SurveyPrior	to	implementation	there	were	a	few	key	steps:	Background:The	organization’s	care	delivery	model	has	been	patient	centered	care.		Bedside	Nurse	Shift	Report	is	a	sub	project	of	redefining	the	culture	of	family	presence	throughout	the	organization.		A	34-bed	medical	surgical	unit	embraced	the	concept	of	handoff	communication	performed	at	the	bedside	and	became	the	pilot	unit	for	this	project.				Post Implementation:•		Coaching	continues	to	new	staff	•		Staff	are	held	accountable	to	the	new	process•		Time	study	proved	that	handoff	was	more	efficient	at	the	bedside•		Management	rounds	with	patients	to	ensure	compliance•		Staff	received	survey	again	at	3	months	and	1	year6B Medical Surgical UnitLessons Learned:•		Pilot	unit	should	have	utilized	the	report	card	prior	to	implementation•		Be	consistent	throughout	the	education	process	•		Validate	throughout	the	year•		Management	must	be	vigilant	and	present	to	ensure	the	process	is	completed	correctly•	Coach,	coach,	coach	prior	to	holding	staff	accountableStaff Reactions:•		“Love it, more complete picture of the patient”•		“Involves the patient and family, decreases the questions throughout the day”•		“Visualize the patient together so issues are taken care of”•	“More thorough report”•		“More staff on the unit during report”•		“I get out on time”

Bedside Nurse Shift Report: An Opportunity to Partner with Our Patients and Families.

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1012&context=patient-care-services-nursing

Bedside Nurse Shift Report: An Opportunity to Partner with Our Patients and Families.

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