The patient is reported to have shortness of breath from initial handover between emergency department nurse to ward nurse. With the patient’s history of a chronic obstructive pulmonary disease, their level of consciousness should have been observed frequently to classify the patient had not undergone hypoxia and hypercapnia. Furthermore, evidence between two nurses from the time of 0300 hours to 0500 hours, did not comply. As the attending nurse had said she left at 0300 hours and returned at 0500 hours, the nurse left on standby said the attending nurse had, indeed, made an appearance within that time (HCCC v Jarrett, 2013, 116, 118-121). B. The attending nurse was an RN and held a 30 year standing to her profession who at the time, was …show more content…
When passing patient information and responsibility between emergency department nurses and ward nurses, there are times when it can become inefficient due to inadequate communication (Drach-Zahavy, Goldblatt & Maizel 2015). Clinical handover is a universal procedure used by all nurses from all around the world in the hopes of promoting consistency of care. (Johnson, Jefferies & Nicholls 2012). As patients with continual care need multiple assessments, nurses take notes during all procedures accomplished and pass them down to incoming nurses at the end of their shift. If nurses are unable to perform certain tasks, it is essential that nurses from incoming shifts be able to perform them. The basic handover consists of the patient's ailment, vital signs, bowel movements, nutritional intake and other need-to-know basis doctors or nurses from other shifts would use in order to assess the patient properly. No matter how major or minor, poor communication can …show more content…
High rates of patient mortality have been the result of miscommunication and have also been traced down by sentinel events by the Joint Commission. Safety issues arise in all areas of healthcare facilities that miscommunication is a preventable factor in the process for patient quality care and can be in fact augmented. Communication is vital at all moments in the duration of nursing duties and is held to be imperative between two shifts (Millar & Sands 2013). The WHO Patient Safety Alliance nominated communication enhancement as top 5 initiative in preventing fatal adverse effects and had later in the years of 2008-2009, funded National Clinical Handover Initiative by the Australian Commission on Safety and Quality in Healthcare (Johnson, Jefferies & Nicholls