The content and context of change of shift report
on medical and surgical units.
The Change of Shift Report
allows staff members to report any actions that have been taken on identified problems.
Nurse shift report
: Who says you can't talk in front of the patient?
An example is audiotaped nursing change of shift report
. The oncoming nurse hears that the patient is doing well but the message fails to include that the patient was started on antibiotics for treatment of sepsis.
Escalating Verbal Prompt Set for Simulation Scenario: Alternation in Comfort/Pain Baseline Presentation 62 y/o male S/P exploratory laporatomy and lysis of adhesions 2 days ago, midline abdominal incision, shift report
: reported 6/10 pain at 6:00 am and patient received 2 mg morphine with good result, analgesics ordered q 4 hour prn.
Vital-signs data typically are manually downloaded at regular intervals for analysis and are entered into a spreadsheet or analyzed as a shift report
. In some cases, monitoring data are transmitted in real time via radio frequency or wire to a remote location, such as the mine's dispatch center.
REFINEMENT OF AN INSTRUMENT FOR ASSESSMENT OF SHIFT REPORT
One way to guarantee successful communication is to use a shift report
. A shift report
, posted on the machine, is completed at the end of each shift by the operator.
Management reports include production records and a unique shift report
showing run times, packing rates and details of line stoppages.
In a correlational descriptive study, implementation of the SBAR template for use during nurse-to-nurse shift handoff and interdisciplinary rounds resulted in increased time spent on shift report
tasks, from 14.3 minutes pre-SBAR to 21.5 minutes (paper) and 25.4 minutes (electronic) post-SBAR (p<0.01).
When the day shift nurse comes onto the unit, she can retrieve the report while the nighttime nurse is taking care of patients, rather than being tied up with shift report
. There is time allotted for the oncoming nurse to ask questions and interact with the off-going nurses.
DURING SHIFT REPORT
, nursing staff develop their own governing procedures, interpersonal relationships, and even work output.