The document provides guidelines for patient handover procedures on the paediatric ward. It states that handover should occur at the patient's bedside, with parents encouraged to participate and informed of their child's care plan. Handover must be documented in the hospital's electronic medical record using ISBAR format and include patient ID and clinical alerts. The staff member responsible for the patient and taking over responsibility should conduct the handover.
The document provides guidelines for patient handover procedures on the paediatric ward. It states that handover should occur at the patient's bedside, with parents encouraged to participate and informed of their child's care plan. Handover must be documented in the hospital's electronic medical record using ISBAR format and include patient ID and clinical alerts. The staff member responsible for the patient and taking over responsibility should conduct the handover.
The document provides guidelines for patient handover procedures on the paediatric ward. It states that handover should occur at the patient's bedside, with parents encouraged to participate and informed of their child's care plan. Handover must be documented in the hospital's electronic medical record using ISBAR format and include patient ID and clinical alerts. The staff member responsible for the patient and taking over responsibility should conduct the handover.
The document provides guidelines for patient handover procedures on the paediatric ward. It states that handover should occur at the patient's bedside, with parents encouraged to participate and informed of their child's care plan. Handover must be documented in the hospital's electronic medical record using ISBAR format and include patient ID and clinical alerts. The staff member responsible for the patient and taking over responsibility should conduct the handover.
13. The purpose of the memo about surgical hand scrub is to
A inform staff of recent changes to procedures. B stress the importance of particular techniques. C remind staff to refer to a set of new regulations.
Memo to all staff: Surgical Hand Scrub
The aim of the surgical hand scrub is to remove transient micro-organisms from the nails, hands and forearms, thereby reducing the residual microbial count. All personnel, in anticipation of gowning and gloving for surgery or invasive procedures requiring surgical asepsis, must perform a surgical hand scrub according to regulations set out by the Infection Control Committee. Surgical attire must be worn during the hand scrub where required, and an effective antimicrobial surgical scrub solution or agent is to be used. A revised optimal surgical hand scrub time of 3 minutes has been introduced based on published research by both the Association of periOperative Registered Nurses (AORN) and the Centre for Disease Control (CDC). Although the protocol is otherwise unchanged, this effectively reduces the time needed by two minutes across all specialties including orthopaedics. Reading B14
14. The notice about summer heat aims to
A warn staff that exceptional weather conditions are forecast.
B inform staff of a likely increase in paediatric admissions.
C ensure that staff seek specialist advice when necessary.
Dealing with excessive summer heat
As we approach the summer, the issue of excessive heat arises. In this country, summer heat regularly causes more fatalities per year than floods, storms and lightning combined. Therefore, the Emergency Department is prepared to deal with increasing patient numbers as the temperature rises. Although a range of factors impacts on vulnerability, including age (˂4 years and >65 years), obesity, dehydration, excessive exposure and serious health conditions, the use of psychotropic medications needs particularly careful monitoring. These drugs can greatly decrease the patient’s ability to cope in hot weather by reducing the body's ability to perspire and/or regulate heat response. It is therefore imperative to discuss any such medications the patient may have in their possession or require, and/or related queries, with the attending doctor or pharmacist. Reading B15
15. The extract from the policy document about high-alert medication sets out procedures
A for dealing with problems in obtaining them.
B for avoiding errors that could cause harm to patients. C for checking that the correct dose has been prescribed.
High-alert medications policy
High-alert medications carry an increased risk of causing significant patient harm when used in error. Therefore, they must be prescribed, dispensed and administered using the practices outlined below. Concentrated electrolyte solutions must only be stored in the Pharmacy Department and the locked cabinet/trolley. The names and strengths of the medication must be verified by two qualified members of staff before being administered to the patient. The dose is to be prepared just prior to administration as per doctor’s order. The medication, strength and dose are then confirmed by reference to the patient’s record. Following this procedure will guarantee optimal safety for patients as well as providing a safeguard in the event of accusations of negligence. Reading B16
16. The extract from the guidelines about searches informs us that A these can only be carried out with the patient’s consent. B any dangerous items found must be confiscated immediately. C the main purpose is to protect both staff and patients from harm.
Criteria for searches in an inpatient unit (section 354.1 of the Mental Health Act) Patient searches are part of a health response, not a security response. Where consideration is given to conducting an inpatient search, this will be a planned, nurse-led initiative. As the safety of patients, visitors and staff of mental-health services is paramount, patients should not have access to items that are in any way dangerous, or which may lead to them harming themselves or others. Searching a patient or their belongings may be required to ensure this. Since searches are intrusive and may impinge upon patients’ rights, every effort should be made to defuse situations in which searches are made against the patient’s wishes. Reading B17
17. This extract from the policy document aims to ensure that
A the appropriate software to use for discharges.
B families are fully informed of discharge arrangements.
C the role of the clinician in discharge is clearly understood.
3.3. 2: Paediatric discharge
It is a policy of this hospital that upon their child’s discharge home from the unit, all parents will receive written discharge advice about their child’s hospital stay using the Admissions, Discharges and Transfers (ADT) Navigator. An ‘after-visit summary’ (AVS) can be printed for the family along with any attendance certificates. The AVS includes a minimum data set which incorporates: name of consultant, diagnosis, medication plan, follow-up information and a phone number to contact if more is information required. This is clearly set out to avoid confusion of any kind. Clinicians should also document in the Progress Notes that the discharge advice has been given to the parents and the time of discharge. Reading B18
18. What do the guidelines say about the handover of paediatric patients? A This should take place at the bedside. B Parents need to be involved or fully informed. C Notes may be made in either electronic or handwritten form.
Handover should occur by each patient’s bedside. If this is not appropriate, it should occur outside the patient room, and, if available, parents are encouraged to participate in handover and must be aware of the plan for their child for the next shift. Handover must be completed in the ISBAR format utilising the handover function in Electronic Medical Record (EMR) and recorded therein. Patient identification must be incorporated as per the patient identification procedure, and clinical alerts need to be included, for example allergies and infection control precautions. Lastly, the patient/family communication boards must be updated accordingly. The staff member who is responsible for the care of the patient, and the staff member taking over that responsibility, should conduct the handover.
