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Clinical Handover In Nursing

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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

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The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)

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The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).

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Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

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164 Words | 1 Pages

Bedside handoff is one of the ways we are involving the patient more. Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012) (P.141) “stated the Joint Commission said in their National Patient Safety Goals for 2009 and 2010 that they wanted patients to be more involved with their care as well as Nursing to have a standard hand off process when there is a change of care”. Bedside handoff covers both initiatives laid out by Joint Commission. Bedside handoff will allow the patient to meet the oncoming nurse and the patient will be involved with his/her care (Maxon et al., 2012). Patients have also felt more at ease with this process with being able to hear what the plan was for their care and are able ask questions about their care

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Review with nurse Gilbert why valium and morphine are contraindicated in shock and her duty to identify this and speak up 5. Review with nurse Gilbert her duty to speak up regarding a need for a transfer of patient to Dr. Dick 1. Complete a root cause analysis identifying breakdowns in processes that directly resulted in the negligent acts by nursing, if any. Implement action plans to correct any process issues identified. Complete any additional individual nurse follow up identified, as needed, outside of short-term action

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1761 Words | 8 Pages

Kerr (2002), reports that if there is a structured handover method the quality of care is promoted and nurses will have a full understanding and knowledge about the patients. Glen (1998) also discussed the importance of having a structured handover process stating that it will lead to an development in the quality of care delivered (K. Chung, 2011). The literature review reveals bedside theme emerged from nursing handover. The current research available may not be substantial but it does indicate support from the large amount of anecdotal evidence which claims that nursing bedside handover is an effective form of handover process.

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When identifying areas which are affected, the problem spans from lack of assistance with activities of daily living, to major medical errors. One study focused on improved resuscitation rates related to appropriate nurse to patient ratios. Those involved in the study site the American Heart Association’s “chain of survival” to directly correlate their evidence. “Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” argues that nurses with an appropriate patient load are able to make contact with their patients more frequently, and for longer periods of time, giving those with a potential for cardiac arrest a more “timely response” to their cardiac event. Since “timely response” is the initial phase in the “chain of survival”, the subsequent steps are more likely to yield favorable outcomes.

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With the use of consistent handoff tools, there is likely not a missing piece of information that leaves the receiving nurse with gaps in any information. The inconsistency of use of different tools such as SBAR (Situation-Background-Assessment-Recommendation) or electronic handoff methods is where information gets lost. The use of SBAR is commonly used to maintain uniform communication. In example of the use of SBAR against the situation mention earlier, the known history of imprisonment with bloody sputum were not mentioned in the background or assessment piece of handoff. Not only did this impact patient safety but also the safety of nursing staff.

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432 Words | 2 Pages

Health practitioners possess distinctive scope of practice standards based upon distinctive skills, education and qualification levels. RNs are accountable to assess patients’ health problems and needs, develop and implement nursing care plans, maintain medical records and supervise ENs and AINs practice. Excepting the ENs’ abilities to assist intervene and evaluate patients health and functional status and administer prescribed medicines or maintain intravenous fluid, ENs and AINs are both have responsibilities to observe patients health status and report changes to the RNs, maintain ongoing communication with RNs regarding the patients’ health and functional status, assist patients with ADL and emotional support, and understand health information technology. Successive healthcare treatment is always associated with collaborated teamwork.

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1580 Words | 7 Pages

In the case study, it shows that the nurses did not treat the patient according to his/her needs. The nurses have failed to deliver an ongoing assessment of the pressure area, and this has resulted in harm to the patient. 2.1 Risk assessment form One of the tools not used to safeguard patient safety was the risk assessment form. When a patient is admitted to a hospital, risk assessment should be done at-least within 8 hours of admission and frequently continue throughout patients stay (ACSQHC, 2012). Risk assessments consist of Braden scale, which is used to provide a prediction of the patient’s risk of pressure areas outcome, based on causes for example mobility.

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1044 Words | 5 Pages

During this time, the patient is unattended and while the nurse gets ready many issues can arrive and with critical patient time is valuable to their care. Another encounter issue is that report starts before going into the patient room. By giving the report in the bedside, it helps the nurse see the environment, analyze the patient, and gives time for the patient to speak for his own health. Both Incoming and of going nurse visualize the patient together, establish the goal for the shift keeping in mind the previous shift goal, and invite the patients in their

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1167 Words | 5 Pages

Mrs. A has family who lived nearby and knew of her hospital admission. The handover also revealed that Mrs. A is continent and the orthopaedic team was not aware of her admission. Before Mrs. A got onto the ward the orthopaedic team was called to tell them a patient was coming to the ward with a fractured neck of femur and would need a review.

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1785 Words | 8 Pages

This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.

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1853 Words | 8 Pages

According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.

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