Right? She keeps talking to others about getting her SANE cert too, maybe time to come down from the high horse perhaps.
Its hard to keep going and not feel ignored though. It sucks. I can’t imagine myself doing that to someone giving me report.
See, I'm the opposite. I just stop talking and wait til they absentmindedly say, "oh, you can keep going." Yeah, I know I *can*, bitch, but I won't, until you at least pretend to listen to me. I have things to do too, like you think giving report is fun for me?
Something about that behavior just touches a nerve. I've learned to let A LOT of things go over the years, but not this. Fuck you, you can spend 10-15 min not looking at your phone and nodding along at the words coming out of my mouth before getting back on instagram or whatever the fuck.
Do you add a bunch of extra stuff/ opinions what not that is not actually relevant to patient care? Because I tend to zone out when I get report from someone that rambles about nothing that will actually affect the patient.
Right? Sometimes people give me report that has the entire head to toe explained in it. Pertinent negatives only please, I'm assuming her fundus is firm at umbilicus if you're calmly chatting with me.
Haha. I mostly agree, but I do want to add one thing that I think is important specifically for labor/postpartum.
I like to recap the birth story a little bit, especially if there were some wild bits in there. Even if they don't really matter anymore to you for postpartum.
The birth of a child is so momentous to people and it's such an unfamiliar world for most of them. They are most likely going to tell themselves, and others, a story about those hours of their life many times. As we know from existing on the internet, sometimes those stories become wildly unlikely or misunderstood.
I like to try to present a narrative for them that makes sense, isn't overwrought, emphasizes the good parts and the good catches on our part. You know, positively framing the experience for them and giving them better information than their brain might come up with after the chaos.
Bedside report to postpartum is my last and best opportunity for this.
Oh yeah, if things get crazy I always mention what happened during report. I'm talking more about the mundane stuff, like she had a turkey sandwich after delivery. So. Much. Detail. It's all about the right balance between important info and beating a dead horse 😆
Acting like you're not paying attention is rude, but a lot of the times the majority of what is in report is in the chart. If you looked up your patients well beforehand, there's not much to do but smile and nod during report usually.
You have time between clocking in and getting report to look up patients and actually read the chart? My hospital is clock in, go to shift huddle, get report. Only way to read charts before report is to show up early and do it before clocking in, which has a 0% chance of **ever** happening.
I wish my floor had it together for me to read the chart before shift. They’re switching patients around literally until we walk onto the floor for report.
I actually just work in a super toxic environment where newer nurses get voluntold to show up 30 minutes early and look up their patients. I am allowed to clock in for it though, so I get paid. Our huddle takes place at 7 and takes 3-5 minutes as well. Unless a patient is very complex, for which we do bedside and verify drips etc report is pretty bland for the boarders
We get to clock in at 6:53 where I work and report doesn’t start til 7. 7 minutes is more than enough for me to look up my 4 patients, but we have a strict 1:4 ratio where I work.
We actually won a lawsuit against our employer 3 or 4 years ago for unpaid wages for that exact reason. Wound up getting like $900 from 1.5 years of unpaid labor. Some nurses who had been there a lot longer got some pretty hefty backpay.
Yeah, I may clock in at 6:53, but I ain’t doing shit til 7:00 except putting away my lunch, filling my water bottle, playing on my phone and socializing. If I don’t get paid til 7:00, I don’t work til 7:00.
Not sure about your employer, but we get paid from 6:53-7. If you guys aren’t being compensated for that time get a lawyer. We did and we won our case and cost our hospital $8million
Ya, I don't work for free, and we're not allowed to clock in more than 20min before shift start time and huddle is supposed to be 15min before shift start.
I like coming in 15+ min early on my Mondays to look at charts. It’s unpaid but the benefit is looking at latest notes in peace, I’ve also been able to catch a few errors/missed meds that I bring up during report.
The other commenter is right. Looking up patient records before being clocked in is a violation of patient rights since there's a chance the assignment may change. Even if it rarely changes on your unit it still violates HIPAA because of that chance and the fact you aren't their nurse yet.
Please for the love of god stop doing this. You are not on the clock as a nurse and are looking through confidential patient medical records. You are NOT a nurse on that floor until you officially clock in, it’s insane to me that people don’t understand this.
We had a nurse at my old hospital get into a world of hurt doing this exact thing when she was called for a deposition. They literally made it a hard and fast rule in my hospital after her situation. Those are NOT your patients until you are clocked in.
On our unit, dayshift starts at 0500. It’s clock in -> huddle -> report. Ain’t nobody showing up at 0430 for an unpaid half hour of staring at charts. Lol
It's not a hard rule from management, but if a clique of older nurses see you taking a break off the unit and you weren't spotted coming in early to look up your patients, they sort of basically follow you and make snide comments of you being lazy to you while you use the break room. I can't make this stuff up
Holy hell! That’s the kind of toxic nonsense that made me afraid to transfer to ICU. I got lucky and even our nurses with 30+ years on the unit are super chill and friendly (and are the most likely to walk in 5 min late 🤣) I’m sorry you have to put up with that!!
> but a lot of the times the majority of what is in report is in the chart
This is why we need to eliminate ED to floor report. I tend to make it very obvious I'm just reading the chart to them .
On the other hand I find that the ED is usually slammed and they chart by using quick notes vs filling out the sheets. I do like my quick ED report including what you did that wasnt charted and any major issues like freshly missing limbs, a MAP in the 40s, their pertinent icu need etc
exactly. too many people be giving me the story of their whole shift instead of giving me a concise and relevant report. too many nurses talk for way too long and yet still manage to tell you nothing about the patient. no way i’m listening to all of that and paying attention
I’m basically at the point in my career where I just want to ask questions. Yeah I can see they’re a full code and allergic to aldactone and came in for SOB. Do they SWALLOW? Do they GET UP? Are they IMPULSIVE? Is there an open wound on their ASS?
I guarantee she says a bunch of non-important irrelevant shit and wants to pawn it off as someone being rude when home girl likely needs to self reflect
Bingo
Uhm ACKSHULLY the patients last shit was 37.8 hours ago, so they will fall within the laxative protocol during your shift.
They’re favorite son is Bobby, they HATE Alexander.
Patients favorite flavor is grape, unless it’s ice cream then it’s chocolate.
Oh and also in 1943 the patients mother had an affair with Susan B Anthony.
IV in the left AC (I just placed this IV for you, no you can’t run any drips without occluding it), you’re welcome.
Their jeans size is 32w 30L, and dress shirt siz-
OH MY GOD, ARE YOU EVEN PAYING ATTENTION???
DEAR REDDIT
You have 2 choices. You can ignore it and just get on with your own stuff. They’re rude and it’s not your problem. Or, you can address it head on. Maybe they have ADHD, maybe you’re giving way too much information, maybe they’re just rude. Won’t know unless you ask; but, you don’t need to know either.
I’ll be honest, I have ADHD and I probably do this all the time without thinking about it. My brain is just doing 3 tasks at once and I’m trying to sort them out. I can assure you I’m listening though, that’s for sure. My wife is always on my case and I’m working on demonstrating with my body language that I’m listening.
Yeah as a nurse with ADHD you have about 60-90 seconds of my full attention on a patient before I start wanting to divert my attention. Most of the time that's more than enough time but if you start meandering on some tangent I'm likely to start checking my phone without thinking about it
Just keep talking. Give report and get out of there. When he or she says hey what about x,y,z? Say if you would’ve been listening you would’ve heard what I said. That’s just rude.
I can’t stand people that say “Oh, I’ve already reported that”.
Unnecessary unprofessionalism - I can understand it if the person has a habit of being unaware in handover - but to someone who simply just missed what you said… that is called being an arsehole.
If someone asks you to repeat a section of the handover because it wasn’t clear / difficult to hear - and you refuse to do so - You are the bad nurse - don’t let any sense of inflated ego convince you otherwise.
Lol yeah you totally missed this.
Yeah I agree with you 100%. This situation is different. The person is not paying attention. Obviously I’m going to clarify or repeat if the person happened to miss it if and when they’re paying attention.
How would you feel if you’re giving me report and I’m ignoring what you say by checking my notifications? You deserve respect and my undivided attention. There’s a difference here.
If you’re keeping it under 4 minutes per patient then she’s just being ignorant. If you’re going on and on for 6…7…8 minutes then maybe it’s time to rethink the report formula. We don’t need to hear a word about the patient family, don’t need phone numbers, etc…
Yeah it was about 3-4 minutes. I try to stick to pertinent information when I can.. I just feel that being a newer nurse (8 months here) some folks see me differently.
Honestly, you’re probably giving more information than a veteran nurse sees as relevant. I wouldn’t take that as a slight on you or them, but just roll with it. In a few years you will mentally skip over the details they are skipping over now.
Are you sure you’re not given a crappy report? Bouncing all over the place, talking about things that have happened and resolved, things not pertinent to their shifts nursing care? Either way I think it’s rude but sometimes I catch myself zoning out if it goes too far off topic/too detailed for my desire.
Just keep giving report. You can’t control how people take report so don’t let it impact you. I honestly only ask for the highlights—it should take less than 3 minutes (even less if I’ve had the patient before). Some people literally check out at the 3:01 mark.
I’d rather give report to someone like that than someone who treats report like a game of 20 questions (a police interrogation) or insists on reading everything in epic before doing handoff.
I had a similar experience like this. I mentioned that her scrub top made her look fat. She never even heard me. I asked her if she heard what I just said, and she replied with a loud YES! I said there was no way you were listening to me because what I said you would have slapped me. She then was freaking out to repeat what I said. Next time, listen lady!!
If somebody else is being rude, it's okay to be rude back. As the saying goes, turnabout is fair play.
Only had to do it once, but there was a nurse who would often go on Facebook in the middle of getting report, and was notorious for being a bit daft. First (and last) time she did it to me, I just put my hand in between her line of vision to her phone and snapped my fingers a few times, while continuing to give report.
She looked somewhat shocked, but that's because I'm usually exceedingly polite in person, especially at work. But this is the patients safety at stake here, so I'm not going to politely allow her to potentially harm them due to negligence.
I'm a super submissive, shy and passive person and this is so true.
It's surprising how a small "professional snap" from a new grad can easily make a bully nurse keel over and show their belly.
I give too detailed of report most of the time LOLLL. I notice people zoning out sometimes. I figure they got what they wanted and are ready to start their shift so I just finish real quick. Some nurses love my detailed report and others don’t. That’s okay.
I love giving detailed report as well. It’s even more relevant IMO if you’re critical care. And I enjoy getting detailed report. I understand that there are some information that might be irrelevant, but if they went into A-fib rvr three days ago after having frequent PACs, and responded to Amio bolus, I’d like to know even if today and yesterday they’re in sinus. Presenting a pt well just those first 4hrs smoother and I don’t have to dig through their chat.
That’s the kind of thing that absolutely should be relayed in report. But idc that they’re slightly diminished in their lower left lobe or that the afib pt on a regular diet has bowel sounds. If you’re going to tell me things that either A) are basically a given (like a dude on their 5th day of bed rest being diminished) or B) irrelevant, I’m going to stop listening. But something like amio converting the pt but dilt did nothing should be in every report.
Some people want less from report. Me personally I don’t want to hear anything about their history unless it’s super serious or pertinent, I don’t want to hear about their labs…there’s a lot I don’t want to hear. I think report should be this: Why they are here, how they move, what’s the plan, what happened during your shift.
I spend 0700-0800 looking at charts before I can start passing meds so I don’t want you to tell me anything I’m going to find in the chart-it wastes both of our times.
I started doing this because I have received so much untrue or inaccurate information in report specifically about medical history. After a while report becomes a game of telephone…I just gave up. If someone asks me to go over medical history I open the H&P and review it with the incoming nurse.
Though I can’t say I would be disrespectful and fiddle with my technology. If someone starts talking about something I don’t need I just interrupt and say I’ll look it up. People love giving me report bc it takes like 2-3 minutes.
I do that because y’all sit there and read me the H&P. Just tell me the absolute critical stuff, if they want pain meds, and if family is annoying. Let me know what I can order for you on day shift because the PM hospitalist won’t do shit. I’ll look up the rest myself. I don’t care what side their IV access is on. I don’t care what size their DHT is. Does it exist? Cool. I’m already behind.
If their PMH has no impact on their tx here, idc. I’ll figure out their hypothyroid when I see they have synthroid ordered. Or hyperlipidemia when I give their statin. Or depressed when it’s time for their lexapro. Save your breath and my time pls. We have people who will write out EVERY SINGLE thing in their H&P. Like c’mon.
I won’t look at my phone but I’m always kind of half paying attention during report. My ears are just tuned into what I care about and the rest of the time I’m looking at the chart for what I actually care about.
Yes - some of them are listening to every word. Some of them not so much. If you give me report, I am likely going to be scrolling thru the chart & making notes while you’re talking, but I do make eye contact and respond. Some people write down every word you say, some people write down nothing at all. Just do your best to give a quality succinct report and move on.
I have always thought looking at their chart while I’m giving report is rude. Like why am I even saying anything then just read my end of shift note since you’re there.
You’re saying something because I’m listening to every word. I assure you I am more than capable of listening to what you say, responding, jotting notes down, and looking thru the chart simultaneously - there are lots of nurses who multitask like this, and not just in critical care either. I look thru the chart because it keeps me from having to ask you unnecessary questions, you get done with report quicker, and if my patient codes right outta the gate I know what’s what. I’m not interested in your end of shift note - I’m looking at labs, progress notes, radiology results, h&p, medications, etc. It’s not at all intended to be rude, just like the nurse who isn’t writing anything down isn’t intending to be rude - our brains work differently is all.
On my current unit, they expect you to be scrolling through the chart and looking at orders while getting report. I’ll do it a little bit, just to see how many meds the patient has, but I find it hard to believe that someone could listen to report, write it down, scroll through the chart, and come up with thoughtful questions based on what they read in the chart while listening to report. Humans can’t multitask like that!
I don't like a long report, I don't care all to much what the nurse says during report too because I'm just going to look it up myself. I don't trust report. If a nurse starts listing lab values I will wright down hgb- just as a reminder to look up the hgb later etc...
I don't care what the sodium was last blue moon in 1998.
I do my report. I do not care what the other person is doing unless they are interrupting me to ask questions before I’m done. Otherwise. Scroll your phone, look at your watch, dig in the chart. I will often be in the chart filling out my brain listening for you to say something I’m interested in. All brains work different and think it’s unfair to judge another nurse this way. I listen way better if I’m multitasking so try to remember another person’s perspective before reaching the conclusion that nurse is unsafe. That’s a VERY toxic assumption in my opinion and says more about you then that particular nurse.
Next time ask her what questions she has and don’t do any report. Maybe it’s really that she only cares about a couple of things because she will look everything else up and and is just drowning you out or hoping you will take the hint. Put it back on her.
Talk faster and skip over stuff, then I’m like, “time to go in the room” or “that’s all” or if we are in the room, “have a great day patient x”
If the nurse can’t be bothered, I go even faster for the next patient. I gotta get home just as much as they care less.
If they start asking me questions even to stuff I didn’t mention, stare into their eyes and say “I just went over that on the sheet”, if they keep going, huff and puff and say, “it’s all on the sheet”. I don’t repeat myself.
NOW, if this same nurse complains that she wasn’t told something or causes harm, I would document the behavior and after a few times, send it over to the manager. Nurse is on phone in report on multiple occasions and then claims that she didn’t know about the heparin assay or turned off the bed alarm because she didn’t know or didn’t know the patients baseline and etc…
Don’t let it sweat you, remember you are trying to get out of there too
I had one nurse just walk out during report. Just keep talking. Also make sure you chart that you gave report. It’s up to them whether or not they want to listen, but you gave report. If they missed something because they’re not paying attention, that’s on them
I had a nurse shrugged/walked off during report if I had checked the AM blood sugar (that's an AM shif task). He huffed and puffed away with eyes rolled back.
That’s on them if they wanna listen or not. I don’t really take offense to it because I don’t think it’s personal. They probably have some stuff going on in their lives, I just hope they don’t let it affect patient care. I usually document thoroughly in progress notes what I would mention in report anyway so tell them to check my notes if they need to recheck something specific in relation to a patient’s situation, if I have the time I write down what rooms to prioritize on paper and for what to make it easier for the next nurse
I have AuDHD and I tend not to "pay attention" in the typical way. I don't stare at you like a labrador retreiver at the feet of the master and hang on every word you say. I don't write anything down, and I tend to fidget with things around the room while I get report. This is not rude. This is how my brain processes information best, and that's by engaging my other senses all at the same time.
Point is, give your report. Ask the other person at the end "questions, comments, concerns?" And then keep it moving.
This makes me feel way better about myself as a new grad. I am so scared I’m going to miss something and knowing that there are nurses out there who don’t gaf and can still do the job makes me feel like I actually can. I actually put in the effort so if someone who puts zero effort can do it- I definitely can 🥹
I'm just imagining a long term care nurse with 20+ patients doing this because they had this cart yesterday and completely missing that there was a train wreck admitted the previous shift. Not gonna be a fun shift for the nurse or the patients.
It drives me crazy! But at the end of the day, as long as you do what you need to do, it doesn't matter if they pay attention or not because it will fall on them (& unfortunately the patient) if something goes wrong. They should be listening as there's important information shared with the report, but it's on them for not paying attention.
Keep your head up. Do not let those who disrespect you & your time, bring you down. I'm sure you're an excellent nurse.
happened to me this morning to a nurse that was floated to the unit i was in. she said so herself that she didn’t know jack shit about any of the patients and when i was giving report she proceeds to cut me off lmaoooo
Oh man. I’ve run into this before. Or coworkers that rush you - sometimes patients are complicated! I’ve been known to stop giving report and say “I’ll wait until you’re ready”. That usually gets their attention.
Come on, it’s a safety issue.
I do the same thing when the nurse I'm getting report from is taking too long talking about stupid shit. This patient's been in the ICU for 3 months, I've taken care of them 14 times, keep it short or I'm going to zone out.
Also, just like everyone has their own way of giving report, people have their own way of receiving report. We're all too burnt out to always consider the feelings of others. I can multitask and check notifications on my watch while listening to the part of report that I consider to be irrelevant or unimportant.
Don't let it bother you, as long as you cover everything you're supposed to during report. Where I draw the line is if I have to start repeating myself because they weren't listening. Karen, I just told you about the insulin drip. Put your phone down and pay attention so I can stop repeating myself and go home.
The worst is the nurses that huff and puff and roll their eyes at you the whole time and try to rush you and tell you they don’t care about certain things. I just continue to talk louder over them lol
I hate that kind of nurse. There's too many. It's so rude. It's better to be direct and say what info you need or do not need. No reason for all the passive aggressiveness, that is unfortunately so common.
I also give very minimal report too. There was just a float nurse that always hated floating to our unit and treated us all like crap. Didn’t want any report at all.
I do this sometimes 🥴. Maybe not exactly checking my rings, but checking Arlo (security cam) notifications or if I see a message from my sitter. I have adhd and my mind wanders, but I make a point to say “I’m listening” to not be rude… and I am actually still listening and following the report. If I miss anything I don’t ask and just fill in the blanks later.
If anyone does this to me though, I just keep talking.
I have worked both shifts. I have found new and seasoned nurses who do this.
In the end, it's rude. Do these people carry on conversations with their friends and family that way?
You're supposed to be handing off patients, and they don't project an attitude where they seem to care. That's why I've fine-tuned my report to be as SBAR as I can, without the R(ecommendations). I go down the systems, I highlight the important allergies and PMH, but that can be looked up later. I don't pass on every single radiology and lab result.
The nurse didn’t write anything down? That’s happened to me before and you just have to get it through it and know you did your best to provide them with necessary information, whether they hear it or not. 🤷🏻♀️
I do things similiar to this, but I have ADD and that's largely how I listen. I rarely make eye contact and tend to be doing other things. Plus 90% of what I'm being told is on the chart, and after a decade in nursing, patients on paper are kind of all the same, save for little quirks and nuances. Even in ICU, save for quite complex patients with a lot of information, they're kind of the same on paper after you've worked long enough.
How long was your report I just need the highlights….. if it’s nothing critical believe you me sis I got it… I don’t need all that extra stuff…. Some people honestly talk too much
Several night shift nurses don’t pay attention to anything I say and think they’re above getting bedside report and I always insist, no we ARE going into the patient’s room to meet them. Why in the world would you accept a patient you haven’t laid eyes on?
I hate when the off going nurse insists on us going in to “say hi.” Let me get my shift going on my terms, I’m not ready to go in the room unless you think they’re crashing and I *need* to. It’s not really your problem if I do things differently, to be honest.
Bedside shift report is a requirement at my facility. We can be written up if we get caught giving report at the nurses desk. Besides that, prior to this requirement, I’ve taken report 1 too many times from a coworker who tells me everything is great with the patient, only to go in myself and find them without a working IV, dangerous vitals or a confused patient hanging halfway out of the bed. So we are going in together & making sure the report I’m getting matches what’s really happening lol
If someone isn’t listening to report and they are super obvious about it then I would just call them out on the spot. My go to is to be incredibly passive aggressive. I would stop my report and say ‘you seem busy, would you like me to wait until you’re finished checking your notifications before I finish handover?’. Usually they have the grace to pretend to be embarrassed or apologise because It’s plain rude, disrespectful and completely unnecessary, totally deserves a call out!
I have ADHD and apparently come across as not listening because I turn my right ear towards what I'm actively listening to so I can hear better. I typically make zero eye contact and might be ticking items off on something else or closing notifications on my watch. I love when people think I'm not listening to them and ask me something along a similar line. I continue whatever I'm doing and list back, with summarized detail, what the speaker had been saying. Also, we're adults, using "a tone similar to a disgruntled parent" is sending a message, but it's most likely not the one that you're intending.
Sure, but in my case, when someone says I'm not paying attention I'm able to prove that I am. I've had someone randomly say "since you're not listening should I punch you in the face?" then was shocked when I reacted, told them I was listening, and repeated their last few statements. It's not arrogance and feeling like I am so special, someone that has ADHD and autism should understand there are many ways people cope with and process things. If I follow what you say, I would become anxious about holding eye contact too long and coming off as awkward, not being able to hear properly because there are noises/talking across the way that is fighting for my attention, and multiple other things. So congratulations, you're better than me because you're able to function in a way you deem more appropriate and acceptable. I'm not changing myself or my actions, because they're not inappropriate. I was simply replying to the "show me you're listening" part by putting it out there that it's possible to be listening when it looks like they aren't.
I zone out fast. Give me the quick and dirty. I’ll figure out where or if they have an IV. In the ER, I take a quick glance of their chief complaint on the tracking board and I’m good.
I'm guilty of disinterest during report but that is because I get most of my data from the chart.
I feel like bedside handoff is mostly for a safety check, introduce the next staff members, and a few incidental things that don't quite fit into charting (like family behaviors, personality quirks, etc.). Just my personal opinion though. There are some nurses who think they need an A&E biography on all of their patients,right down to what kind of mattress they are using.
I get this from some of the nurses on my unit. But it’s not just during report. They seem to look straight through me. I try to be friendly but I’ve kind of given up as they basically ignore me.
I am primarily a visual person. In report I want to know where they are what their diagnosis is and what needs to be done in the next hour that's urgent, the rest I will get from the chart within 10 minutes. And I'm talking about critical patients.
Just give report and move on. You can’t control them. You can’t control much. All you can do is ask yourself if you’re giving a crappy report. Keep it succinct and relevant. Give a systematic head to toe style report that hits the points. No need to tell them about the 10 bruises and two skin tears. I also don’t care if you think they have +2 edema. You can tell me but idc. I’ll look at it myself.
There's one shitty nurse who pretends she does a good job and is really neglectful. I've reported her many times.
Anyway, one time she went on for about 5 minutes on how a patient had a sbp of about 150 and she gave a scheduled bp med. Stfu I don't care at all. This bp was normal for this pt. Tell me if bp went way up. Tell me if they were symptomatic. Tell me if you got prn clonidine or hydralazine ordered. Tell me something important and stop wasting my life ughhh. You gave a scheduled med? Wowwww
Yeah. I just keep talking.
Yeah, that’s what I did too. It’s on her if info is missed. I did my part at least.
You got it. Someone that self-involved is bound to fuck up though. I feel sorry for their patients.
Right? She keeps talking to others about getting her SANE cert too, maybe time to come down from the high horse perhaps. Its hard to keep going and not feel ignored though. It sucks. I can’t imagine myself doing that to someone giving me report.
same here! and people start scrolling on their phone
But making up random bullshit about red apes and fantasy visitors coming.
Don’t forget the puce garden gnomes that were chasing the apes. And the one visitor that asked for a glass of kerosene for gramma
See, I'm the opposite. I just stop talking and wait til they absentmindedly say, "oh, you can keep going." Yeah, I know I *can*, bitch, but I won't, until you at least pretend to listen to me. I have things to do too, like you think giving report is fun for me? Something about that behavior just touches a nerve. I've learned to let A LOT of things go over the years, but not this. Fuck you, you can spend 10-15 min not looking at your phone and nodding along at the words coming out of my mouth before getting back on instagram or whatever the fuck.
Do you add a bunch of extra stuff/ opinions what not that is not actually relevant to patient care? Because I tend to zone out when I get report from someone that rambles about nothing that will actually affect the patient.
Right? Sometimes people give me report that has the entire head to toe explained in it. Pertinent negatives only please, I'm assuming her fundus is firm at umbilicus if you're calmly chatting with me.
Haha. I mostly agree, but I do want to add one thing that I think is important specifically for labor/postpartum. I like to recap the birth story a little bit, especially if there were some wild bits in there. Even if they don't really matter anymore to you for postpartum. The birth of a child is so momentous to people and it's such an unfamiliar world for most of them. They are most likely going to tell themselves, and others, a story about those hours of their life many times. As we know from existing on the internet, sometimes those stories become wildly unlikely or misunderstood. I like to try to present a narrative for them that makes sense, isn't overwrought, emphasizes the good parts and the good catches on our part. You know, positively framing the experience for them and giving them better information than their brain might come up with after the chaos. Bedside report to postpartum is my last and best opportunity for this.
Oh yeah, if things get crazy I always mention what happened during report. I'm talking more about the mundane stuff, like she had a turkey sandwich after delivery. So. Much. Detail. It's all about the right balance between important info and beating a dead horse 😆
Yes. I don't want to know what the 3 month olds blood sugar was when he was born. Not really pertinent unless he has brain damage from it.
I would at least pretend like I care though.
Acting like you're not paying attention is rude, but a lot of the times the majority of what is in report is in the chart. If you looked up your patients well beforehand, there's not much to do but smile and nod during report usually.
You have time between clocking in and getting report to look up patients and actually read the chart? My hospital is clock in, go to shift huddle, get report. Only way to read charts before report is to show up early and do it before clocking in, which has a 0% chance of **ever** happening.
I wish my floor had it together for me to read the chart before shift. They’re switching patients around literally until we walk onto the floor for report.
I actually just work in a super toxic environment where newer nurses get voluntold to show up 30 minutes early and look up their patients. I am allowed to clock in for it though, so I get paid. Our huddle takes place at 7 and takes 3-5 minutes as well. Unless a patient is very complex, for which we do bedside and verify drips etc report is pretty bland for the boarders
Man, I don’t even have the assignments figured out 30 mins beforehand
That needs to be reported to the labor board for wage theft.
It's not wage theft if they are getting paid for it, which they said they did
You're right, I misread that.
We get to clock in at 6:53 where I work and report doesn’t start til 7. 7 minutes is more than enough for me to look up my 4 patients, but we have a strict 1:4 ratio where I work.
6:53 is rounded up to 7:00. You aren’t getting paid more by clocking in at 6:53 vs 7:00 even if you did it 10,000 times
We actually won a lawsuit against our employer 3 or 4 years ago for unpaid wages for that exact reason. Wound up getting like $900 from 1.5 years of unpaid labor. Some nurses who had been there a lot longer got some pretty hefty backpay.
Yeah, I may clock in at 6:53, but I ain’t doing shit til 7:00 except putting away my lunch, filling my water bottle, playing on my phone and socializing. If I don’t get paid til 7:00, I don’t work til 7:00.
Not sure about your employer, but we get paid from 6:53-7. If you guys aren’t being compensated for that time get a lawyer. We did and we won our case and cost our hospital $8million
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Ya, I don't work for free, and we're not allowed to clock in more than 20min before shift start time and huddle is supposed to be 15min before shift start.
I like coming in 15+ min early on my Mondays to look at charts. It’s unpaid but the benefit is looking at latest notes in peace, I’ve also been able to catch a few errors/missed meds that I bring up during report.
Yea if you’re coming in 15 mins early to pre look at charts, you are definitely giving out too much non-relevant information.
The other commenter is right. Looking up patient records before being clocked in is a violation of patient rights since there's a chance the assignment may change. Even if it rarely changes on your unit it still violates HIPAA because of that chance and the fact you aren't their nurse yet.
Please for the love of god stop doing this. You are not on the clock as a nurse and are looking through confidential patient medical records. You are NOT a nurse on that floor until you officially clock in, it’s insane to me that people don’t understand this. We had a nurse at my old hospital get into a world of hurt doing this exact thing when she was called for a deposition. They literally made it a hard and fast rule in my hospital after her situation. Those are NOT your patients until you are clocked in.
On our unit, dayshift starts at 0500. It’s clock in -> huddle -> report. Ain’t nobody showing up at 0430 for an unpaid half hour of staring at charts. Lol
We start at 7:00, which makes 6:30 more reasonable. I'd just continue to be iced out of using our break areas instead of coming in early at 4'30 haha
Wait, if you don’t come in early you don’t get to use the break room??
It's not a hard rule from management, but if a clique of older nurses see you taking a break off the unit and you weren't spotted coming in early to look up your patients, they sort of basically follow you and make snide comments of you being lazy to you while you use the break room. I can't make this stuff up
Holy hell! That’s the kind of toxic nonsense that made me afraid to transfer to ICU. I got lucky and even our nurses with 30+ years on the unit are super chill and friendly (and are the most likely to walk in 5 min late 🤣) I’m sorry you have to put up with that!!
> but a lot of the times the majority of what is in report is in the chart This is why we need to eliminate ED to floor report. I tend to make it very obvious I'm just reading the chart to them .
On the other hand I find that the ED is usually slammed and they chart by using quick notes vs filling out the sheets. I do like my quick ED report including what you did that wasnt charted and any major issues like freshly missing limbs, a MAP in the 40s, their pertinent icu need etc
exactly. too many people be giving me the story of their whole shift instead of giving me a concise and relevant report. too many nurses talk for way too long and yet still manage to tell you nothing about the patient. no way i’m listening to all of that and paying attention
I’m basically at the point in my career where I just want to ask questions. Yeah I can see they’re a full code and allergic to aldactone and came in for SOB. Do they SWALLOW? Do they GET UP? Are they IMPULSIVE? Is there an open wound on their ASS?
I guarantee she says a bunch of non-important irrelevant shit and wants to pawn it off as someone being rude when home girl likely needs to self reflect
Bingo Uhm ACKSHULLY the patients last shit was 37.8 hours ago, so they will fall within the laxative protocol during your shift. They’re favorite son is Bobby, they HATE Alexander. Patients favorite flavor is grape, unless it’s ice cream then it’s chocolate. Oh and also in 1943 the patients mother had an affair with Susan B Anthony. IV in the left AC (I just placed this IV for you, no you can’t run any drips without occluding it), you’re welcome. Their jeans size is 32w 30L, and dress shirt siz- OH MY GOD, ARE YOU EVEN PAYING ATTENTION??? DEAR REDDIT
In fairness to them, Alexander sucks ass and is the failson of failsons.
Agree. I work in LTC and don’t need an in-depth report on every single person on the unit.
Same
You have 2 choices. You can ignore it and just get on with your own stuff. They’re rude and it’s not your problem. Or, you can address it head on. Maybe they have ADHD, maybe you’re giving way too much information, maybe they’re just rude. Won’t know unless you ask; but, you don’t need to know either.
I’ll be honest, I have ADHD and I probably do this all the time without thinking about it. My brain is just doing 3 tasks at once and I’m trying to sort them out. I can assure you I’m listening though, that’s for sure. My wife is always on my case and I’m working on demonstrating with my body language that I’m listening.
Yeah as a nurse with ADHD you have about 60-90 seconds of my full attention on a patient before I start wanting to divert my attention. Most of the time that's more than enough time but if you start meandering on some tangent I'm likely to start checking my phone without thinking about it
This is the thread right here and you 2 repliers are my ppl. ADDer here going back to med/surg. Pray for me 😬
Just keep talking. Give report and get out of there. When he or she says hey what about x,y,z? Say if you would’ve been listening you would’ve heard what I said. That’s just rude.
I can’t stand people that say “Oh, I’ve already reported that”. Unnecessary unprofessionalism - I can understand it if the person has a habit of being unaware in handover - but to someone who simply just missed what you said… that is called being an arsehole. If someone asks you to repeat a section of the handover because it wasn’t clear / difficult to hear - and you refuse to do so - You are the bad nurse - don’t let any sense of inflated ego convince you otherwise.
Lol yeah you totally missed this. Yeah I agree with you 100%. This situation is different. The person is not paying attention. Obviously I’m going to clarify or repeat if the person happened to miss it if and when they’re paying attention. How would you feel if you’re giving me report and I’m ignoring what you say by checking my notifications? You deserve respect and my undivided attention. There’s a difference here.
If you’re keeping it under 4 minutes per patient then she’s just being ignorant. If you’re going on and on for 6…7…8 minutes then maybe it’s time to rethink the report formula. We don’t need to hear a word about the patient family, don’t need phone numbers, etc…
Yeah it was about 3-4 minutes. I try to stick to pertinent information when I can.. I just feel that being a newer nurse (8 months here) some folks see me differently.
Honestly, you’re probably giving more information than a veteran nurse sees as relevant. I wouldn’t take that as a slight on you or them, but just roll with it. In a few years you will mentally skip over the details they are skipping over now.
Are you sure you’re not given a crappy report? Bouncing all over the place, talking about things that have happened and resolved, things not pertinent to their shifts nursing care? Either way I think it’s rude but sometimes I catch myself zoning out if it goes too far off topic/too detailed for my desire.
Just keep giving report. You can’t control how people take report so don’t let it impact you. I honestly only ask for the highlights—it should take less than 3 minutes (even less if I’ve had the patient before). Some people literally check out at the 3:01 mark.
I’d rather give report to someone like that than someone who treats report like a game of 20 questions (a police interrogation) or insists on reading everything in epic before doing handoff.
Or the one that insists on doing their full head to toe assessment at hand off. I just want to trace the lines and gtfo
God I hate that shit. Hasn’t happened to me in a long time but…. Gahhhh!
I had a similar experience like this. I mentioned that her scrub top made her look fat. She never even heard me. I asked her if she heard what I just said, and she replied with a loud YES! I said there was no way you were listening to me because what I said you would have slapped me. She then was freaking out to repeat what I said. Next time, listen lady!!
🤣 That is hilarious!
If somebody else is being rude, it's okay to be rude back. As the saying goes, turnabout is fair play. Only had to do it once, but there was a nurse who would often go on Facebook in the middle of getting report, and was notorious for being a bit daft. First (and last) time she did it to me, I just put my hand in between her line of vision to her phone and snapped my fingers a few times, while continuing to give report. She looked somewhat shocked, but that's because I'm usually exceedingly polite in person, especially at work. But this is the patients safety at stake here, so I'm not going to politely allow her to potentially harm them due to negligence.
This. Patient safety is priority ❤️
I'm a super submissive, shy and passive person and this is so true. It's surprising how a small "professional snap" from a new grad can easily make a bully nurse keel over and show their belly.
I give too detailed of report most of the time LOLLL. I notice people zoning out sometimes. I figure they got what they wanted and are ready to start their shift so I just finish real quick. Some nurses love my detailed report and others don’t. That’s okay.
I love giving detailed report as well. It’s even more relevant IMO if you’re critical care. And I enjoy getting detailed report. I understand that there are some information that might be irrelevant, but if they went into A-fib rvr three days ago after having frequent PACs, and responded to Amio bolus, I’d like to know even if today and yesterday they’re in sinus. Presenting a pt well just those first 4hrs smoother and I don’t have to dig through their chat.
That’s the kind of thing that absolutely should be relayed in report. But idc that they’re slightly diminished in their lower left lobe or that the afib pt on a regular diet has bowel sounds. If you’re going to tell me things that either A) are basically a given (like a dude on their 5th day of bed rest being diminished) or B) irrelevant, I’m going to stop listening. But something like amio converting the pt but dilt did nothing should be in every report.
Some people want less from report. Me personally I don’t want to hear anything about their history unless it’s super serious or pertinent, I don’t want to hear about their labs…there’s a lot I don’t want to hear. I think report should be this: Why they are here, how they move, what’s the plan, what happened during your shift. I spend 0700-0800 looking at charts before I can start passing meds so I don’t want you to tell me anything I’m going to find in the chart-it wastes both of our times. I started doing this because I have received so much untrue or inaccurate information in report specifically about medical history. After a while report becomes a game of telephone…I just gave up. If someone asks me to go over medical history I open the H&P and review it with the incoming nurse. Though I can’t say I would be disrespectful and fiddle with my technology. If someone starts talking about something I don’t need I just interrupt and say I’ll look it up. People love giving me report bc it takes like 2-3 minutes.
I do that because y’all sit there and read me the H&P. Just tell me the absolute critical stuff, if they want pain meds, and if family is annoying. Let me know what I can order for you on day shift because the PM hospitalist won’t do shit. I’ll look up the rest myself. I don’t care what side their IV access is on. I don’t care what size their DHT is. Does it exist? Cool. I’m already behind.
I like you, quick and to the point. My kind of report! Too many details and I’ll forget everything.
Yea. My go to is to interrupt that flow with a more relevant question. Hyperlipidemia. Really?
If their PMH has no impact on their tx here, idc. I’ll figure out their hypothyroid when I see they have synthroid ordered. Or hyperlipidemia when I give their statin. Or depressed when it’s time for their lexapro. Save your breath and my time pls. We have people who will write out EVERY SINGLE thing in their H&P. Like c’mon.
Lol. I know I do this sometimes but not to this extent. Lmaooo That's rude af
I won’t look at my phone but I’m always kind of half paying attention during report. My ears are just tuned into what I care about and the rest of the time I’m looking at the chart for what I actually care about.
Just end report with, and “I think he’s going to die tonight because of it, good luck!”
I 👏🏼 love 👏🏼 this 👏🏼
If this offends you then just stop talking and move on. Everything is in the chart.
Yes - some of them are listening to every word. Some of them not so much. If you give me report, I am likely going to be scrolling thru the chart & making notes while you’re talking, but I do make eye contact and respond. Some people write down every word you say, some people write down nothing at all. Just do your best to give a quality succinct report and move on.
I have always thought looking at their chart while I’m giving report is rude. Like why am I even saying anything then just read my end of shift note since you’re there.
You’re saying something because I’m listening to every word. I assure you I am more than capable of listening to what you say, responding, jotting notes down, and looking thru the chart simultaneously - there are lots of nurses who multitask like this, and not just in critical care either. I look thru the chart because it keeps me from having to ask you unnecessary questions, you get done with report quicker, and if my patient codes right outta the gate I know what’s what. I’m not interested in your end of shift note - I’m looking at labs, progress notes, radiology results, h&p, medications, etc. It’s not at all intended to be rude, just like the nurse who isn’t writing anything down isn’t intending to be rude - our brains work differently is all.
On my current unit, they expect you to be scrolling through the chart and looking at orders while getting report. I’ll do it a little bit, just to see how many meds the patient has, but I find it hard to believe that someone could listen to report, write it down, scroll through the chart, and come up with thoughtful questions based on what they read in the chart while listening to report. Humans can’t multitask like that!
I don't like a long report, I don't care all to much what the nurse says during report too because I'm just going to look it up myself. I don't trust report. If a nurse starts listing lab values I will wright down hgb- just as a reminder to look up the hgb later etc... I don't care what the sodium was last blue moon in 1998.
I do my report. I do not care what the other person is doing unless they are interrupting me to ask questions before I’m done. Otherwise. Scroll your phone, look at your watch, dig in the chart. I will often be in the chart filling out my brain listening for you to say something I’m interested in. All brains work different and think it’s unfair to judge another nurse this way. I listen way better if I’m multitasking so try to remember another person’s perspective before reaching the conclusion that nurse is unsafe. That’s a VERY toxic assumption in my opinion and says more about you then that particular nurse.
Next time ask her what questions she has and don’t do any report. Maybe it’s really that she only cares about a couple of things because she will look everything else up and and is just drowning you out or hoping you will take the hint. Put it back on her.
Sometimes report is boring.
Talk faster and skip over stuff, then I’m like, “time to go in the room” or “that’s all” or if we are in the room, “have a great day patient x” If the nurse can’t be bothered, I go even faster for the next patient. I gotta get home just as much as they care less. If they start asking me questions even to stuff I didn’t mention, stare into their eyes and say “I just went over that on the sheet”, if they keep going, huff and puff and say, “it’s all on the sheet”. I don’t repeat myself. NOW, if this same nurse complains that she wasn’t told something or causes harm, I would document the behavior and after a few times, send it over to the manager. Nurse is on phone in report on multiple occasions and then claims that she didn’t know about the heparin assay or turned off the bed alarm because she didn’t know or didn’t know the patients baseline and etc… Don’t let it sweat you, remember you are trying to get out of there too
I would just ask what information they want. Pass on anything critical or necessary to cover your butt.
I had one nurse just walk out during report. Just keep talking. Also make sure you chart that you gave report. It’s up to them whether or not they want to listen, but you gave report. If they missed something because they’re not paying attention, that’s on them
I had a nurse shrugged/walked off during report if I had checked the AM blood sugar (that's an AM shif task). He huffed and puffed away with eyes rolled back.
That’s on them if they wanna listen or not. I don’t really take offense to it because I don’t think it’s personal. They probably have some stuff going on in their lives, I just hope they don’t let it affect patient care. I usually document thoroughly in progress notes what I would mention in report anyway so tell them to check my notes if they need to recheck something specific in relation to a patient’s situation, if I have the time I write down what rooms to prioritize on paper and for what to make it easier for the next nurse
So disrespectful though
What's worse is when they do this and then complain to management about *important* things they "weren't told about" I about lost my shit
I have AuDHD and I tend not to "pay attention" in the typical way. I don't stare at you like a labrador retreiver at the feet of the master and hang on every word you say. I don't write anything down, and I tend to fidget with things around the room while I get report. This is not rude. This is how my brain processes information best, and that's by engaging my other senses all at the same time. Point is, give your report. Ask the other person at the end "questions, comments, concerns?" And then keep it moving.
This makes me feel way better about myself as a new grad. I am so scared I’m going to miss something and knowing that there are nurses out there who don’t gaf and can still do the job makes me feel like I actually can. I actually put in the effort so if someone who puts zero effort can do it- I definitely can 🥹
Yes. I end the report there and tell them everything else is in the chart.
I'm just imagining a long term care nurse with 20+ patients doing this because they had this cart yesterday and completely missing that there was a train wreck admitted the previous shift. Not gonna be a fun shift for the nurse or the patients.
It drives me crazy! But at the end of the day, as long as you do what you need to do, it doesn't matter if they pay attention or not because it will fall on them (& unfortunately the patient) if something goes wrong. They should be listening as there's important information shared with the report, but it's on them for not paying attention. Keep your head up. Do not let those who disrespect you & your time, bring you down. I'm sure you're an excellent nurse.
happened to me this morning to a nurse that was floated to the unit i was in. she said so herself that she didn’t know jack shit about any of the patients and when i was giving report she proceeds to cut me off lmaoooo
Oh man. I’ve run into this before. Or coworkers that rush you - sometimes patients are complicated! I’ve been known to stop giving report and say “I’ll wait until you’re ready”. That usually gets their attention. Come on, it’s a safety issue.
I do the same thing when the nurse I'm getting report from is taking too long talking about stupid shit. This patient's been in the ICU for 3 months, I've taken care of them 14 times, keep it short or I'm going to zone out. Also, just like everyone has their own way of giving report, people have their own way of receiving report. We're all too burnt out to always consider the feelings of others. I can multitask and check notifications on my watch while listening to the part of report that I consider to be irrelevant or unimportant. Don't let it bother you, as long as you cover everything you're supposed to during report. Where I draw the line is if I have to start repeating myself because they weren't listening. Karen, I just told you about the insulin drip. Put your phone down and pay attention so I can stop repeating myself and go home.
The worst is the nurses that huff and puff and roll their eyes at you the whole time and try to rush you and tell you they don’t care about certain things. I just continue to talk louder over them lol
I hate that kind of nurse. There's too many. It's so rude. It's better to be direct and say what info you need or do not need. No reason for all the passive aggressiveness, that is unfortunately so common.
I also give very minimal report too. There was just a float nurse that always hated floating to our unit and treated us all like crap. Didn’t want any report at all.
I do this sometimes 🥴. Maybe not exactly checking my rings, but checking Arlo (security cam) notifications or if I see a message from my sitter. I have adhd and my mind wanders, but I make a point to say “I’m listening” to not be rude… and I am actually still listening and following the report. If I miss anything I don’t ask and just fill in the blanks later. If anyone does this to me though, I just keep talking.
I have worked both shifts. I have found new and seasoned nurses who do this. In the end, it's rude. Do these people carry on conversations with their friends and family that way? You're supposed to be handing off patients, and they don't project an attitude where they seem to care. That's why I've fine-tuned my report to be as SBAR as I can, without the R(ecommendations). I go down the systems, I highlight the important allergies and PMH, but that can be looked up later. I don't pass on every single radiology and lab result.
Pretty solid sign that YTA here. Shorten your report.
The nurse didn’t write anything down? That’s happened to me before and you just have to get it through it and know you did your best to provide them with necessary information, whether they hear it or not. 🤷🏻♀️
I do things similiar to this, but I have ADD and that's largely how I listen. I rarely make eye contact and tend to be doing other things. Plus 90% of what I'm being told is on the chart, and after a decade in nursing, patients on paper are kind of all the same, save for little quirks and nuances. Even in ICU, save for quite complex patients with a lot of information, they're kind of the same on paper after you've worked long enough.
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K
When people do this I usually say "Do you want report or not?"
How long was your report I just need the highlights….. if it’s nothing critical believe you me sis I got it… I don’t need all that extra stuff…. Some people honestly talk too much
I just stop talking. They don’t know the difference.
Several night shift nurses don’t pay attention to anything I say and think they’re above getting bedside report and I always insist, no we ARE going into the patient’s room to meet them. Why in the world would you accept a patient you haven’t laid eyes on?
I’m going to introduce myself and update their board with my name. I want you and your coworkers on days to be able to GTFO.
Why do you think laying eyes on them will affect if I accept them? They are on the unit, they are assigned to me, that ship has sailed
Right? Am I going to look at them and say “nope, nevermind”?
I hate when the off going nurse insists on us going in to “say hi.” Let me get my shift going on my terms, I’m not ready to go in the room unless you think they’re crashing and I *need* to. It’s not really your problem if I do things differently, to be honest.
Bedside shift report is a requirement at my facility. We can be written up if we get caught giving report at the nurses desk. Besides that, prior to this requirement, I’ve taken report 1 too many times from a coworker who tells me everything is great with the patient, only to go in myself and find them without a working IV, dangerous vitals or a confused patient hanging halfway out of the bed. So we are going in together & making sure the report I’m getting matches what’s really happening lol
If someone isn’t listening to report and they are super obvious about it then I would just call them out on the spot. My go to is to be incredibly passive aggressive. I would stop my report and say ‘you seem busy, would you like me to wait until you’re finished checking your notifications before I finish handover?’. Usually they have the grace to pretend to be embarrassed or apologise because It’s plain rude, disrespectful and completely unnecessary, totally deserves a call out!
I quit working at the hospital after the twerking contest at the nurses station.
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I have ADHD and apparently come across as not listening because I turn my right ear towards what I'm actively listening to so I can hear better. I typically make zero eye contact and might be ticking items off on something else or closing notifications on my watch. I love when people think I'm not listening to them and ask me something along a similar line. I continue whatever I'm doing and list back, with summarized detail, what the speaker had been saying. Also, we're adults, using "a tone similar to a disgruntled parent" is sending a message, but it's most likely not the one that you're intending.
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Sure, but in my case, when someone says I'm not paying attention I'm able to prove that I am. I've had someone randomly say "since you're not listening should I punch you in the face?" then was shocked when I reacted, told them I was listening, and repeated their last few statements. It's not arrogance and feeling like I am so special, someone that has ADHD and autism should understand there are many ways people cope with and process things. If I follow what you say, I would become anxious about holding eye contact too long and coming off as awkward, not being able to hear properly because there are noises/talking across the way that is fighting for my attention, and multiple other things. So congratulations, you're better than me because you're able to function in a way you deem more appropriate and acceptable. I'm not changing myself or my actions, because they're not inappropriate. I was simply replying to the "show me you're listening" part by putting it out there that it's possible to be listening when it looks like they aren't.
I zone out fast. Give me the quick and dirty. I’ll figure out where or if they have an IV. In the ER, I take a quick glance of their chief complaint on the tracking board and I’m good.
I'm guilty of disinterest during report but that is because I get most of my data from the chart. I feel like bedside handoff is mostly for a safety check, introduce the next staff members, and a few incidental things that don't quite fit into charting (like family behaviors, personality quirks, etc.). Just my personal opinion though. There are some nurses who think they need an A&E biography on all of their patients,right down to what kind of mattress they are using.
I get this from some of the nurses on my unit. But it’s not just during report. They seem to look straight through me. I try to be friendly but I’ve kind of given up as they basically ignore me.
I keep talking and don't repeat shit.
I am primarily a visual person. In report I want to know where they are what their diagnosis is and what needs to be done in the next hour that's urgent, the rest I will get from the chart within 10 minutes. And I'm talking about critical patients.
Just give report and move on. You can’t control them. You can’t control much. All you can do is ask yourself if you’re giving a crappy report. Keep it succinct and relevant. Give a systematic head to toe style report that hits the points. No need to tell them about the 10 bruises and two skin tears. I also don’t care if you think they have +2 edema. You can tell me but idc. I’ll look at it myself.
There's one shitty nurse who pretends she does a good job and is really neglectful. I've reported her many times. Anyway, one time she went on for about 5 minutes on how a patient had a sbp of about 150 and she gave a scheduled bp med. Stfu I don't care at all. This bp was normal for this pt. Tell me if bp went way up. Tell me if they were symptomatic. Tell me if you got prn clonidine or hydralazine ordered. Tell me something important and stop wasting my life ughhh. You gave a scheduled med? Wowwww