A nurse realizes that much time is wasted during shift report when co-workers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
a. "Let's talk only about one movie you recently watched."
b. "I like to know about department store sales, but we need to get through this report, so let's talk about sales as we walk between patient rooms."
c. "I know your shift has been busy. What went wrong?"
d. "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift."
ANS: D
Correct: The statement "I have the list of patients; let's start with revisions to the plan of care and scheduled activities for the next shift" focuses the conversation during report, keeping personal conversations to a minimum.
Incorrect:
a. Shift report allows the nurse to prioritize the upcoming shift; personal discussions should occur at break or after the end of the shift.
b. The time available between each patient is a time to organize thoughts and plan care.
c. Asking what went wrong in a shift opens up a lengthy conversation that may not provide essential information needed to provide care.
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