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shift handover protocol (3)

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37 views

shift handover protocol (3)

Uploaded by

Megersa Alene
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 8

Inpatient shift

handover protocol
Contents

1- Acronyms

2- Definition

3- Introduction

4- Importance/rationalea

5- ISBAR

6- Management

7- Direct Patient Care Handover

8- Short Break Hand Over

9- Long Break Handover

10- conclusion
Acronyms
ISBAR-identification, situation, background, assessment, recommendation

FMOH- Federal Ministry of Health

RHB - Regional Health Bureau

SMT - Senior Management Team

Definition of terms
 CLINICAL HANDOVER:- Transfer of professional responsibility and
accountability for some or all aspects of care for a patient, or group of
patients, to another person / family / legal guardian or professional
group on a temporary or permanent basis
 the transfer of professional responsibility &
 accountability
 for some or all aspects of care for a patient or
 group of patients,
 to another person or professional group on a
 temporary or permanent basis’
 ISBAR:-acronym that stands for identification-situation-background-
assesment-recommendation.it is an evidence based communication

model that the speaker by providing a frame work to organize and


convey information
 NURSE:-means a registered or enrolled nurse registered by the
FMOH/RHB
 SHORT BREAK:-any time aware from the patient for 10-15 minutes
–for example transferring patients from another area, picking up
patients from another area, bathroom…
 LONG BREAK:-anytime away from the patient that is greater than 15
minutes –for example meal break, education sessions, patient forum…

Introduction
This is a local guideline which sits under the overarching the purpose of this
guideline is to provide nurses across the campus with a consensus based
approach to communicating handover requirements of patients in their care

The primary objective of a “hand over” is to provide accurate information


about a patient’s care, treatment and services, current condition and any
recent or anticipated changes.

Handover of clinical care is more than just the transfer of information-it is also
a transfer of professional responsibilities. Furthermore, handover of clinical
care can provide a valuable platform for communication about operational
issues that might improve the quality of care to be delivered in the subsequent
shift and offers opportunities to spot and mitigate errors. Accordingly,
hospitals (wards) should ensure that all staff has access to relevant, accurate
and up to date sources of information (written or verbal handover) during the
24 hour cycle. Equally important, jargon related to medication details should
be minimized to reduce the risk of miss understanding. Good handover requires
Why is Clinical Handover important?

 Poor communication is major contributing factor in adverse events

Poor or absent clinical handover can result in:

delay in diagnosis or treatment

missed or duplicated tests

wrong treatment

medication error

What constitutes a good Handover?

Information transferred should be

• Relevant

• Accurate

• Unambiguous

• occur in a timely manner

Transferred in a standardized format (ISBAR)


I Identify Identify yourself, your role ,and your patient
S Situation State the patient diagnosis, or reasons for
admission,& current problem
B Background Patient history-clinical background or context
A assessment Current problems, observations and treatments
R recommendation Post-handover plan include REQUESTS & RISKS
what do you recommend or want the person you
called to do?
Be clear about request &time frame. Repeat to
confirm what you have heard

MANAGEMENT

The case team manager has the responsibility to supervise


handover, and to ensure the following principles are applied:
 Patient care (as required) continues while handover is
occurring
 The EMR documentation tool required for the handover is
available for staff
 The venue ,starting times and duration of the handover are
clear
 That staffs have a good understanding of their role in their
handover
 Disruptions are minimized
 All relevant staff must attend handover
 ISBAR is adhered to as the communication tool
 Feedback (both positive and negative )is given to staffs about
their participation in handover by the case team manager the
handover process are completed as required
 Allocation of patients to suitable competent nurse

Direct Patient Care Handover (Inward Based, Inpatient Areas)


 Handover should occur by each patient bedside ,if not
appropriate it should occur outside patient room
 Occurs between the staff members that hold responsibility for
care and the staff member who will be assuming responsibility
for the care of the patient.
 Hand over should be completed in the ISBAR format utilizing
the handover function in EMR
 Patient identification is to be incorporate as per the patient
identification procedure
 Clinical alerts need to be included e.g. Allergies, infection
control precautions
 The handover must be documented in the EMR

Short Break Hand Over or Patient/Nurse Reallocation during


Shift
 Occurs between the nurse responsible for the patient and the
nurse who is assuming responsibility for the patient
 Comprise of a short verbal handover focusing on the greatest
risk for the patient
Long Break Handover or Patient /Nurse Reallocation during
Shift
 Occurs between nurse responsible for patient and the nurse
who is assuming responsibility for the patient
 Comprises of a verbal handover in ISBAR format (ISR) –
identification of patient, current situation and any risks or
recommendations for break interval
 Documentation of handover and transfer of professional care
needs to be recorded in the EMR

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