Bedside SHIFT report in emergency room - PowerPoint Presentation

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Bedside SHIFT report in emergency room

BY: MELISSA MORALESSlide2

PRACTICE BEFORE IMPLEMENTATION

PRIOR TO JANUARY 5, 2015IN 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 INCREASEDSlide3

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 RECOMMNEDATIONSlide4

IMPLICATIONS FOR PRACTICE

RESEARCH SHOWS THAT BEDSIDE REPORT INCREASED PATIENT SATISFACTION BY HAVING THE PATIENT INVOLVED INTO THEIR CARERESEARCH ALSO SHOWS PATIENTS HAVE INDICATED POSITIVE OUTCOMES TOWARDS THE UNIT AS THEY WERE INVOLVED IN THEIR CARE Slide5

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 85-90 PERCENT. Slide6

NURSE’S PERSPECTIVE

SOME MAY BE PRO AND SOME ARE CONPRO’S: INCREASES COMMUNICATION AND ACCOUNTABILITYCON’S: THE TIME TAKEN TO GIVE BEDSIDE REPORT MIGHT TAKE FEW MORE MINUTES THAN WHAT REPORT WAS GIVEN BEFORE. Slide7

cons

ACCORDING TO RESEARCH CONDUDECTED THEY FOUND SOME CON’S TO BEDSIDE REPORTPOSSIBLY SHARING DIAGNOSIS OF THE PATIENT WHEN THEY HAVE NOT BEEN TALKED BY THE DOCTORPATIENT PRIVATE INFORMATION SHARED

VISITORS OR NO VISITORS PRESENT ON REPORTSlide8

Pros’s

INCREASES PATIENT SAFETYINCREASES STAFF AND PATIENT COMMUNICATIONINCREASES PATIENT POSITIVE OUTCOMESPATIENT INVOLVED IN THEIR CAREINCREASES NURSE TO NURSE ACCOUNTABILITYSlide9

RESULTS SINCE IMPLEMENTATION

PATIENT SATISFACTION SCORESPRIOR 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 REPORTCURRENTLY AS OF MAY 2015 ED HAS THE HIGHEST CUSTOMER SATISFACTION SCORES, HUGE INCREASE SINCE LAST YEAR, WE HAD THE LOWEST SCORES OF CUSTOMER SATISFACTIONSlide10

CONCLUSION

RESEARCH ON BEDSIDE REPORT CONTINUES TO SHOW BETTER DATA, THERE IS A GAP IN LITERATURE THAT DEFINES WAY TO MEASURE EFFECITVENES OF BEDSIDE REPORTINCREASES PATIENT SATISFACTION SCORES AS PATIENTS ARE HAPPY TO BE INVOLVED IN THEIR OWN CARESlide11

REFERENCES

Isabel, P., & Nicole, M. (2014, August 1). Let's chat: Bedside reporting in the ED. Nursing 2014.Pamela M., 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-shift-reporting-process

Nurse Bedside Shift Report; Implementation Handbook. (n.d.). Retrieved February 10, 2015, from http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx