Why Nurses Like It
Frequently Asked Questions
About Change of Shift Huddle
What is the Change of Shift Huddle?
Change of Shift Huddle is the first process at the start of each shift. It’s a 3-5-minute structured presentation prepared and given from a member of the outgoing shift to the entire oncoming shift. Think of Change of Shift Huddle as a way to give staff and the unit itself the same respect we give our patients.
How is this different than the huddles we are doing today?
The Nurses First version of Change of Shift Huddle happens precisely at the start of every shift and hands over the unit in a way that connects us psychologically, intellectually, and emotionally.
By starting at a regular time, Change of Shift Huddle facilitates timeliness and can help reduce tardiness and incremental overtime.
On successful Nurses First units, hospital executives who pop-in occasionally to observe a Change of Shift Huddle are likely to remark that they’ve seldom seen a more positive, professional, and efficient face-to-face meeting in a hospital.
What topics does Change of Shift Huddle cover?
Change of Shift Huddle “reveals” information that all staff should know and sets a positive tone for the upcoming shift. There are 4 areas covered:
Team: Who’s the charge nurse today? Who’s the unit clerk? Who are all the nurses and techs? In short, who are our colleagues and resources for this shift?
Environment: What’s the census? Any pending admissions? What was the feel on the previous shift? What went well? What could have gone better?
Advocacy: Which patients have specific care issues to highlight? Which patients have safety issues everyone should know about? Which patients and families are requiring extra emotional support? Who needs interpreter services?
Motivation: What will be the quote – the piece of wit or wisdom – that will help warm, inspire, or set the mood for the oncoming shift?
The N1 Daily Pulse Report
Our Change of Shift Huddle template has highly valuable information about unit health and patient flow, so the N1 Daily Pulse digitizes the huddle sheets to extract insights for nursing leaders:
- Shift Report (stress level last shift)
- # Discharges Last Shift
- # Expected Discharged
- # Pending Admissions
- Catches & Saves
- What can we do better?
- # Villagers
- # Patients or Families Requiring Extra Emotional Support (P-FREES)
- Today’s Motivational Quote
The N1 Daily Pulse report is a free feature of our 1Unit Software Platform. In this way, shift-specific data about unit health can be aggregated and reported upward to nursing leaders for each participating unit.
Right after huddle, the charge nurse digitizes the form using our mobile app, and that auto-populates the N1 Daily Pulse Report for each shift.
The N1 Daily Pulse Report can reveal deeper insights and help leaders prioritize their attention:
- Knowing which units are highly stressed enables leaders to efficiently allocate resources and ease the burden on staff;
- Capturing “catches & saves” every day can improve event reporting, reveal repeated themes, and recognize nursing “wins” that are often overlooked; and
- The Patient Flow metrics can support any daily meetings about discharges.
“A mental workload measure, even though it is likely to be subjective, is a better predictor of failure than a (more easily quantifiable) measure of system performance itself because an increase in mental workload anticipates a decrement in performance.” – Thomas Sheridan, Professor Emeritus, MIT
The N1 Trends Report
The N1 Trends Report is another feature of our 1Unit Software Platform. It enables leaders to easily compare units over longer periods of time and identify continuing issues on specific units.
Knowing which units tend to be more highly stressed over weeks and months can reveal hidden patterns over time. These insights can then be used to efficiently allocate resources between units and better support staff on units that are experiencing high-demand and continued stressful conditions.