“I try to listen to which patients either have fallen or we’re very worried about falling because if the bed alarm goes off and you’re the only person sitting in the nurses station, you want to know how fast should I run to that bed alarm? I think that’s very useful information that we parse out in the morning huddle.”

– Nurse

Nurse

“There’s a couple of times that we’ve had patients that have needed a little bit more emotional support. And so that’s been noted in the change of shift huddle, which I think is really appropriate, especially for us [nurses] because we’re all in and out of each other’s rooms for most of [the] shift.”

– Nurse

Nurse

“I really like the quality safety checklist with the Foley Catheters. Sometimes I think they get left in longer than they’re supposed to. People forget about it. You know, foley was in and this has been in for so many days, can we do a voiding trial on this patient?”

– Nurse

Nurse

“I think it cuts out all the unnecessary information that isn’t needed that nurses may just pass on that doesn’t need to be included. So it keep us focused on the patient and what they’re here for and the medical facts and not social things or other things that can sometimes creep into report.”

– Nurse

Nurse

“I’m not worried about going to work anymore.”

– Nurse

Nurse

“If we have relieving staff, we use the huddle to introduce them. Everybody says hi, we let everybody know their name and who they’re working with so that people can see them in the corridor and check in if they’re okay and they know their name. It historically has made the relieving staff really feel welcome and valued and happy within the unit and happy to come back to the unit as well.”

– Charge Nurse

Charge Nurse

“Nurses hear [the information] for the entire floor. So it triggers you to say, okay, so 21 has a bed alarm. That’s not my patient, but 21 has a bed alarm, so I need to make sure that if something happens in that room, I [know when I] go in there, we’re all responsible.”

– Nurse

Nurse

“The change of shift huddle kind of gets everybody ready, gets everyone there and … gives you a positive attitude for the day and you know incoming admissions, discharges, what’s planned.”

– Nurse

Nurse

“We’re incorporating [the] patient more with the bedside handoff reports so they’re more aware of what’s going on with their care. And, their questions and their input.”

– Nurse

Nurse

“The bedside report that we use in bedside handover gives you a head to toe assessment. It keeps you organized so you’re not  bouncing between subjects. And it paints a better picture that way.”

– Nurse

Nurse

“Having something already filled out by the previous nurse, handing it to you, and you going in together, you’re just looking along and you can listen, you’re not worried about writing down and that’s made this much easier.”

– Nurse

Nurse

You’ve got a structure and you make sure you don’t miss anything. It’s really easy to just write in the information and as you go through you think of something that you didn’t even remember at the time, but because it’s already there to sort of remind you, it helps with bringing on that memory. But I think [Nurses First] is really good.

– Student Nurse

Student Nurse

“We had a Medical Emergency Team response one night. And one of the new Grad nurses was in charge of this patient, she gave handover to the MET team as they arrived. And I was so proud of her. She did an amazing job and the MET team just looked at her and from their eyes she could have been a nurse with 20 years experience.”

– Charge Nurse

Charge Nurse

“A young nurse had to handover a patient to the ICU team, went over there with absolute confidence standing in front of ICU physicians and nurses all staring at her. She didn’t feel nervous because she just pulled out the bedside handover tool and she just went through it like we do on the ward, systems approach, and then she looked at everybody. She expected all these questions to come, but she’d covered everything. Not even the doctors had any questions and she came back to the ward really proud and really confident that she’d given it a great handover.”

– Charge Nurse

Charge Nurse

“I think it cuts out all the unnecessary information that isn’t needed that nurses may just pass on that doesn’t need to be included. So it keeps us focused on the patient and what they’re here for and the medical facts and not social things or other things that can sometimes creep into report.”

– Nurse

Nurse

“I try to listen to which patients either have fallen or we’re very worried about falling because if the bed alarm goes off and you’re the only person sitting in the nurses station, you want to know how fast should I run to that bed alarm? I think that’s very useful information that we parse out in the morning huddle.”

– Charge Nurse

Charge Nurse

” I think the good thing about the [Nurses First] bedside handover is that you can tweak it to your unit. So handovers before would not have been potentially as accurate as what I would like them to be or expect them to be. Whereas now we’ve got this process and yeah you could give that handover and it’d be 98% accurate.”

– Unit Nurse Manager

Unit Nurse Manager

“I think change of shift huddle is exciting. The nurses really enjoy that and they take time to prepare the change of shift huddle … it’s unbelieveable. They’re doing a great job at it. So I think that’s something that’s really enjoyed.”

– Unit Nurse Manager

Unit Nurse Manager

“This is the way healthcare should be.”

– Patient

Patient

“[Nurses First bedside handover] gives you information and it gives you a reliance on your, on your team member that you’re going to get the information you need to have a great experience with that patient.”

– Director of Nursing

Director of Nursing

“Nurses first has given us that structure that I think we need as nurses.”

– AVP Acute Care

AVP Acute Care

“Less time in hospital, the freeing up of beds. The care is better. The communication is better.”

– Chair Regional Health Authority

Chair Regional Health Authority

“We rolled out hospital-wide almost overnight. We were able to embed the same process for change of shift in every unit. We were able to free our nurses to focus on care, not information gathering.”

– CNO

CNO

“[This] is a skillset that we knew we needed…Staff watched the video and had immediate interest, asking “Where do we sign up?”

– CNO

CNO

“[It elevates] what nurses have to communicate. It’s professionalism, it’s accuracy…So learn it, stick with it, follow our lead and you won’t be sorry.”

– CNO

CNO

“It has truly changed the way that we start our shift…it’s just amazing how this has played out.”

– Director of Nursing

Director of Nursing

“Often in our medical system I think patients sometimes feel they’re left out: what’s going on with their treatment, when are they going to see their doctor next. It was incredible what I saw… Less time waiting for an in-patient bed, shorter hospital stays, better patient outcomes, and an increased patient and family, and staff satisfaction.”

– CNO

CNO

“If I had to tell myself something now that I wish I knew three, six months ago, it would have been, we should have done this sooner. We should have been after Nurses First a year ago.”

– AVP Acute Care

AVP Acute Care