Mr. Luigi, an 85-year-old patient, is ready to be discharged after having colon resection surgery 4 days ago. Mr. Luigi still has a Jackson Pratt drain in place, a Stage III hospital-acquired pressure injury on his sacrum, and a peripherally inserted central catheter (PICC). The unit is very busy with four discharges and eight new admissions, and everyone seems short-tempered and stressed. The oncoming nurse overhears that there were two staff members who called out sick, leaving the unit short-staffed. The oncoming nurse receiving report on this patient has never worked with Mr. Luigi before and requests that bedside shift report take place so that she can assess Mr. Luigi’s incision, wound, drain, and PICC line. The offgoing nurse feels that bedside shift report takes too much time and refuses to leave the nurse’s station. The offgoing nurse tells the oncoming nurse, “Bedside shift report isn’t worth the trouble, so I’m giving you report at the desk.”

1.

What CUES (Assessment) can the oncoming nurse identify that might explain the offgoing nurse’s behavior?

2.

What HYPOTHESIS (diagnosis) can the oncoming nurse make in thinking about how to address the offgoing nurse’s concerns?

3.

What ACTION (Plan and implement) can the oncoming nurse take to help address the situation?

4.

What OUTCOME (Evaluation) would support that the offgoing nurse is reflecting on the feedback from the oncoming nurse?