Clinical Handover In Nursing

Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.

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

By law, a nurse cannot just stand by and watch unsatisfactory care being given, the nurse has an

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

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.

This demonstrates that with a situation where the immediate availability of nurses is required for a patient’s condition it is important that the nurses are well staffed. She builds this argument that hospitals must have sufficiently larger nursing staffs by using comparative personal anecdotes. In Brown’s first sight where a nurse failed the patient the nursing staff wasn’t adequately staffed which caused the patient to have a emergency team to bring her back to life. However, in Brown’s second personal story which features a sufficiently staffed floor of nurses. The patient had called for Brown’s

Communication plays a critical role in the healthcare industry. It is a critical part of a nurse, as you will be providing viable information to the different peoples. As a nurse one reason that communication is critical is during handoff. A handoff is “A standardized handoff communication tool is recognized as a Joint Commission patient safety goal to reduce communication errors and improve patient safety” (Taylor, 2015). In recent years, healthcare facility has changed the handoff from a report outside the room to a bedside shift report.

A would need to be admitted to a acute ward to be monitor before and after the operation. Before Mrs. A was admitted to the ward accident and emergency phoned the ward to give handover of Mrs. A. Handover from ward to ward is helpful as it means you get a basic picture of the patient and what care they will need. It also gives the ward enough time to help get things into place. Mrs. A was a 83 year old lady who lived alone with once daily package of care which is privately funded.

Each nurse on this unit is also in charge of admitting their own patients and calling the assigned doctor with report of each patient’s status or

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.

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.

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.

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

In case of a nurse dealing with his/her family members or relatives, the care needs to be transferred to another nurse

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.