Evidence Based Practice

1547 WordsMar 29, 20157 Pages
Best Nursing Practice for Standardizing Shift-to-Shift Reports Best Nursing Practice for Standardizing Shift-to-Shift Reports This paper will examine the best nursing practice for standardizing shift-to-shift reports. I became interested in this topic after hearing my mother talk about her day floating to a floor at her hospital. She received report on her patients from two different nurses that morning. Each nurse gave her different information and both were missing information that she considered vital to the care of her patients. She normally works in the ICU and on the step-down medical surgical floor, which both use a version of a template that was designed by one of the nurses to facilitate a standardized shift-to-shift…show more content…
This article appeared in the Patient Safety section of Nursing a monthly publication for nurses offering current and practical content to its readers. Mary Jane Schroeder (2011) takes a different approach and recommends using the Situation-Background-Assessment-Recommendation (SBAR) technique for shift-to-shift reports. The Situation section of the shift-to-shift report should only include the patient’s name, reason for admission and introducing the patient to the nurse coming on duty. The Background section is just as it sounds a quick overview of the relevant background history for the patient. During the Assessment section, the patient’s current condition is given including any relevant lab work, safety or isolation precautions, or medication information. The final section is Recommendation, which discusses what needs to be accomplished that day. This can be anything from positioning of the patient, upcoming tests or procedures, or even steps towards patient discharge (M. Schroeder, 2011). A sample shift-to-shift report following the SBAR outline is as follows: S: Mrs. Abigail Smith, this is Sally Jones, who will be caring for you today. Sally, Mrs. Smith, is a 58-year-old female here for treatment of a diabetic left foot plantar ulcer and infection with uncontrolled glucose levels. B: Mrs. Smith has a history of hypertension,
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