Recommended Citation
Webster K. "COAST"ing through bedside shift report. Evidence Based Practice poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.
Presentation Notes
*Recipient of "People's Choice Award" for Evidence Based Practice category. Evidence Based Practice poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.
Abstract
Background: Multiple types of shift report exist, a “blended” bedside shift report incorporates verbal face to face between staff with a bedside component. Baseline audits in March 2023 showed during bedside report only 3% addressed codes status, 3% oxygen, 6% access, 3% safety, and 12% tubes and drains. Additional baseline data from March 2023 showed 71% compliance with No CPR band application and one fall. This prompted the PICO question: Does the use of a blended bedside report compared to traditional verbal report increase communication between staff?
Aim/Purpose: To implement blended shift report in one ICU at a quaternary medical center and determine its impact on communication and patient safety.
Implementation plan: The IOWA model was utilized to guide the project and literature search. Subsequent implementation included baseline audits of traditional verbal shift report practices and safety events. Collaboration with two other shared governance pilot sites occurred to identify opportunities and challenges. Based on the literature an acronym “COAST” was developed to include the necessary components of code status, oxygen, access, safety, and tubes/drains during bedside handoff. Education explaining the rational, expectations, and the COAST acronym was presented at staff meetings, distributed to teammates, and visual cues hung on all patient rooms.
Outcomes: Post implementation data was tracked and averages from April and May 2023 were compared with baseline. All elements of COAST acronyms during bedside report increased as follows: 53% addressed codes status, 70% oxygen, 68% access, 72% safety, and 67% tubes and drains. Compliance with no CPR bracelets improved to 100% and zero falls have occurred during the post implementation time frame. Anecdotal feedback from nurses said the new report process was quick and easy.
Implications for Practice: The utilization of a blended shift report can increase necessary components of communication between staff and potentially impact patient safety events.
Document Type
Poster
Publication Date
11-15-2023
"COAST"ing through bedside shift report
Background: Multiple types of shift report exist, a “blended” bedside shift report incorporates verbal face to face between staff with a bedside component. Baseline audits in March 2023 showed during bedside report only 3% addressed codes status, 3% oxygen, 6% access, 3% safety, and 12% tubes and drains. Additional baseline data from March 2023 showed 71% compliance with No CPR band application and one fall. This prompted the PICO question: Does the use of a blended bedside report compared to traditional verbal report increase communication between staff?
Aim/Purpose: To implement blended shift report in one ICU at a quaternary medical center and determine its impact on communication and patient safety.
Implementation plan: The IOWA model was utilized to guide the project and literature search. Subsequent implementation included baseline audits of traditional verbal shift report practices and safety events. Collaboration with two other shared governance pilot sites occurred to identify opportunities and challenges. Based on the literature an acronym “COAST” was developed to include the necessary components of code status, oxygen, access, safety, and tubes/drains during bedside handoff. Education explaining the rational, expectations, and the COAST acronym was presented at staff meetings, distributed to teammates, and visual cues hung on all patient rooms.
Outcomes: Post implementation data was tracked and averages from April and May 2023 were compared with baseline. All elements of COAST acronyms during bedside report increased as follows: 53% addressed codes status, 70% oxygen, 68% access, 72% safety, and 67% tubes and drains. Compliance with no CPR bracelets improved to 100% and zero falls have occurred during the post implementation time frame. Anecdotal feedback from nurses said the new report process was quick and easy.
Implications for Practice: The utilization of a blended shift report can increase necessary components of communication between staff and potentially impact patient safety events.
Affiliations
Aurora St. Luke’s Medical Center