Bedside Communication

BEDSIDE COMMUNICATION

By
Nursing Education
Team
BEDSIDE COMMUNICATION

DEFINITION
Communication of patient information between nurses at the
patient bedside is called bedside communication
PHASES OF BEDSIDE
COMMUNICATION

1.Receiving and
Orientation
3. Plan of care and

2. Initial Assessment
Treatment
4. Handing over 5. Discharge Education

1. RECEIVING AND
ORIENTATION
 Develop a good rapport with the patient.
 Build a foundation of trust
 Make the patient feel at ease
 Ensure the room is clean

STEPS INVOLVED IN RECEIVING A
PATIENT
 Introduce yourself
 Ask the patient their name

 Make them feel comfortable
ORIENTATION
 Identification tag
 Bedside nurse call button
 Important phone numbers
 Safekeeping of valuables
 AC and TV facilities
 Bathroom facilities
 ATM service
 Food services
 Pharmacy services
 Doctor’s visiting hours and nurse shift timings
 Visiting hours policy
 Billing, payment and insurance
 Discharge timings
2. INITIAL ASSESSMENT
Initial assessment is the first step of the nursing process. It involves collecting
information regarding physiological, psychological and sociological and
cultural status of a patient.
STEPS INVOLVED IN INITIAL ASSESSMENT
 Collecting relevant information
 Physical Assessment – head to toe assessment.

 Focused assessment – detailed assessment of body systems relating to
the presenting complaint.
COLLECTING RELEVANT
INFORMATION
 Present complaint – symptoms- ( Nature, Onset, Severity, Classify
symptoms)
 Health History
 Family History
 Social history
 Current medical and / or nursing management
 Understanding of medical and nursing plans
 Perception of illness
COMMUNICATION DURING
INITIAL ASSESSMENT
While assessing a patient, it is important to communicate :
 Steps involved in the process.
 Body parts to be examined.
Ensure privacy of the patient
Make them feel comfortable and take their consent before you begin
Take special consent to do internal examination like per vaginal or per rectal
exam.
INITIAL ASSESSMENT – POINTS
TO REMEMBER
• Take admission history and physical assessment as soon as the patient arrives
at the unit or status is changed to an inpatient.
• Enter data collected in the Nursing Admission Assessment Sheet. This may
vary slightly depending on the facility.
• Enter additional data collected as well.
• Receive all the old reports and file it safely. Don’t forget to return it after
review.
• Take help for translation, if required.
• Immediate initiation of initial assessment leads to quicker treatment plan and
execution.
3. PLAN OF CARE AND TREATMENT
Nursing care plan is a document developed after the patient assessment that identifies the
nursing diagnosis to be addressed in the hospital or clinic.
Advantages
 Easy communication between nurses.
 Patient education.
 Safe and continuous care.
Components of a nursing care plan

 Identify the needs and problems of the patient
 Nursing Diagnosis
 Goals
 Recommended Nursing Interventions
 Outcomes
HANDING OVER
The process of transferring care of a patient to another nurse is called

handing over.
Steps involved in handing over

 Preparation
 Introduction
 Information exchange
 Patient involvement
 Safety scan
Communication during handing over
• ISBAR is a mneumonic that helps in safe transfer of critical information
during the handing over process.
It stands for
Introduction:
Situation:
Background:
Assessment:
Recommendation:
HANDING OVER-POINTS TO
REMEMBER
• Have a standardized approach to hand-over communication
• Allow enough time for handing over.
• Insist on bedside handover.
• Introduce the next shift nurse to the patient so that they can build a
rapport.
• Look into patient safety aspects such as if the side rails are drawn up, is
the patient stable, if the fluids is flowing as ordered and if the oxygen
humidifier has sterile water.
• Address the needs and concerns of the patient and their family.
• Use appropriate tools such as EMR or printed form for handing over.
• Incorporate training on effective handing over communication.
DISCHARGE EDUCATION
Discharge instructions provide critical information for patients to manage

their own care.
You should instruct the patient on :

 Medication Management.
 Meal management ( According to their illness)
 Activities of daily living.
 Rehabilitation.
DISCHARGE EDUCATION - POINTS
TO REMEMBER
 Home care preparation begins at the time of admission. It is an ongoing
process from admission to discharge.
 It is not a process which is carried out only at the time of discharge. It doesn’t
stop with explaining the discharge summary.
 If the patient is on tracheostomy, NG feeds or Urinary catheter, then you
should start preparing patient’s family through demonstrations and repeat
demonstrations throughout the stay in the hospital.
 If there is a necessity to use medical gadgets such as suction apparatus, pulse
oximeter, oxygen cylinders at home, then teach patient’s family on how to use
them, problems which can occur and their solutions.
 Have health education pamphlets and videos in each unit. This will make
patient education more effective.
 Give the emergency contact number and ask them to call during emergencies.

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BEDSIDE COMMUNICATION

3. Plan of care and

4. Handing over 5. Discharge Education

 Ensure the room is clean

 Ask the patient their name

 Physical Assessment – head to toe assessment.

Components of a nursing care plan

The process of transferring care of a patient to another nurse is called

Steps involved in handing over

Discharge instructions provide critical information for patients to manage

You should instruct the patient on :

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