Bedside Report

At 7 a.m. and 7 p.m. each day, the busy nurses’ station on Flagstaff Medical Center’s 2-South Medical/Surgical Unit is unusually quiet. That’s because FMC’s new bedside report initiative has brought a fundamental change to the way nurses are communicating about their patients.

Gone are the days when nurses huddled at the nurses’ station to discuss their patients. Instead,
nurses are taking those conversations to the bedside, where the patient and the family can be involved.

Now, at each shift change, the outgoing nurse and the incoming nurse meet with the patient and family to discuss the plan of care, what’s happened with the patient during the last 12 hours, and plans for the next 12 hours.

“Patients and loved ones really appreciate being included in the conversations and development
of the care plan,” said Kara Cummings, R.N., M.S.N., clinical manager, 2-South. “Open and honest communication between patients, their loved ones and the healthcare team helps ensure patients are receiving the best possible care.”

Bedside report is just one way FMC is embracing Patient and Family Centered Care (PFCC), an innovative way of thinking about the relationship between patients and their families and healthcare providers. PFCC is founded on the understanding that family plays a vital role in ensuring the health and well-being of patients of all ages. The ultimate goal of PFCC is to create partnerships among healthcare practitioners, patients and families that will lead to the best outcomes and enhance the quality and safety of healthcare a patient receives in the hospital and after discharge.

When patients and families are encouraged to take an active role in the healthcare process, patient outcomes are better. Patients and family members are more relaxed, which promotes healing. Family support is increased, which leads to earlier patient discharge, adherence to post-discharge instructions, reduced readmissions to the hospital and increased patient and family satisfaction with the overall hospital experience.

Bedside report was a very positive part of our time at FMC,” said Erick Laurila, husband of a recent patient on 2-South. “Being part of the dialogue between the nurses provided us the venue to ask questions and make decisions. We felt more at ease because we had a chance to talk with the new nurse coming on shift and we knew what to expect in the next eight to 12 hours. Bedside report really personalizes the hospital experience."