Bedside Handover Using Isbar Frameworks

Standard 1.1 outlines that the registered nurse should access and analyse the best available evidence which includes research to ensure they provides safe and quality practice (Nursing and Midwifery Board of Australia, 2016). This was absent in scenario one as a result of a fast verbal medical handover Mary to Nicole. There was no guidance as to which patient was being discussed, and no time to write down all the important medical information required about her patients (Edith Cowan University, 2016). In scenario two Mary provides more guidance to Nicole about which patient she is talking about ensuring all the necessary information is received by Nicole (Edith Cowan University, 2016). Research has proven that handover is often difficult in the health care process, and often results in information being lost, distorted or misinterpreted. Verbal handover has also been described as an incomplete process when compared to information available in patient notes and records (Drach-Zahavy & Hadid, 2015). This is demonstrated in both scenarios with Nicole being given a fast handover with no guidance about where the information she is being given is relevant to. Whilst in scenario two Mary provides prompts and gives Nicole time to write down all the necessary information she requires (Edith Cowan University, 2016).

This study evaluated if changing the process of shift handover from traditional form conducted in an off stage area to handover at the bedside could lead to improved safety for patients and cost reductions by shortening the duration of handover. The researchers also examined staff perceptions and satisfaction with the traditional method of handover versus th

This reading discusses the use of wireless alerts pagers in a Surgical Intensive Care Unit and how it affects both work practices and information flows through a qualitative study. From the research that exists, we can see that pagers are successful communication tools because of the mobility and immediacy they provide. Interviews were completed with physicians and pharmacist who used the pagers and nurses who did not use the pager about how it impacted their work. In addition to collecting data this way, the researchers also compiled observational data from watching the device be used in regular practice. The study noted that

The significance of the study is to discuss and clarify why bedside reporting is the best method of patient handoff. The benefits associated with this kind of bedside reporting and if implemented, how it will be of help to

Patients depend on healthcare professionals through the use of call lights. Many different factors can affect a patient’s ability to function independently such as “cognitive impairments, visual loss, and decreased mobility” patients turn to call lights for assistance (Huey-Ming, 2010). Unfortunately, if a nurse or certified nursing assistant is occupied risks occur and can ultimately lead to injuries of patients due to help not received at that given moment. In the journal titled Perspectives of Patients and Families About the Nature of and Reasons for Call Light Use and Staff Call Light Response Time written by Huey- Ming Tzeng, patients felt “staff responsiveness to call lights often affect nurse-patient communication, patient

Before the patients leave the clinic, the primary care nurse will give them a simple instruction such as doing the blood work, EKG and chest x-ray prior to pre-operative appointments. This is the end of primary care responsibility for the pre-operative process of patients undergoing surgical procedures. The accountability of making sure the patient is ready for the surgery is then handed over to the pre-operative management nurses. Cancellation of operations in hospitals is a significant problem with far reaching consequences (Kumar & Gandhi, 2012). One of the factors contributing to this cancelation is the pre-operative process itself.

A significant amount of communication is done between nurses at handoff report, and the patient’s safety can also be compromised at this time (Sand-Jecklin & Sherman, 2014). In a study conducted regarding near miss incidents, nurses reported that handoff report is a contributing factor (Sand-Jecklin & Sherman, 2014). Communication errors are the leading cause of patient harm and are the root cause of 65% of sentinel events (Tobiano, Chaboyer, & Mcmurray, 2013). If the bedside report is

Bedside report has also become a critical component to maintain patient safety. In the past nurses would give hand off report at the nurse’s station, leaving their patients alone. This time frame has proven to be when the majority of sentinel events occurred, such as falls (Ofori-Atta, J., 2014). Bedside report keeps patients involved in their care and reduces the risk of errors in communication between nurses and maintains patient

Clinicians recognize risk factors assess, better diagnose and manage patients and reduce mortality rates. (Trenary, 2007)Describes how Banner Health Care System uses a system called eICU where patients are cared for by intensivists, experienced critical care nurses and health unit secretaries working from a remote location on the campus of Banner Desert Medical Centre. From this location care clinicians can see and hear six different units in five different hospitals .Their aim is to increase this added support to all ICU patients within their Banner Health Care System across the seven states in twenty different facilities. .Using the eICU system the ICU rooms are fitted with a camera, microphone and a speaker .The camera is activated when initiated by the bedside team when there is an alert received from the eICU system .There is no recording availability so the system is HIPAA compliant .This system adds an additional support to the nurse patient ration at bedside. A similar system is used in the Ob department to support the nurses and help to reduce complications during childbirth

    The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.

There are many other potential patient safety benefits from implementing a bar code-enabled point-of-care technology (BPOC) system in addition to reducing medication errors. When these systems are implemented to their fullest capability they can improve the safety of blood transfusions and laboratory specimen collections. Less obvious benefits, such as increased satisfaction of nurses in their daily work, can also be realized. The technology reduces the nurses' paperwork burden, freeing nurses to spend more time interacting with patients and providing higher-quality care. A BPOC system can also provide a sense of protection to nurses, easing the level of stress. In turn, this can reduce nursing turnover, a growing and increasingly expensive problem in

The author made a problem statement that bedside nursing report is not persistence in nursing care and there is limited research to investigate. The author’s questions are specifically related to the concern of bedside clinical handover that needs to be addressed in healthcare organization, investigate patients’ opinions to help nurses become aware of patients’ needs and increase their skill in clinical bedside handover practice. Using qualitative research methodology to interview, explore, and observe patients’ experience will help the researchers to answer the research questions. Obviously, exploring the patients’ opinion of bedside nursing handover is a key to recognize patients’ perspective to provide for their needs in order to continue patient safety care and

Suppose there is a patch call with a patient exhibiting chest pain and the ambulance is five minutes out. In this case, the room is equipped and prepared with all the essential needs for the chest pain patient upon their arrival in the ambulance. After the patient has arrived, the primary nurse on duty receives a report from the Emergency Medical Technician (EMT) that accompanied and provided initial care to the patient in the ambulance. At the same time, the secondary nurse and ERT become technical, or hands on. The patient is administered oxygen, cardiac monitors are placed, an EKG is administered, locks and labs are drawn, normal saline is administered, and a urinalysis is taken along with the patients’ blood glucose level. Each of these tasks is initiated prior to the Emergency Room Medical Doctor (MD) seeing the patient, or at the same time. Emergency

1.1 When going into a call the first thing that should be done is to get all the materials that you need together in order to provide care. For example, if someone is bed ridden and you are changing their pad then you will need to get the clean pad, carrier bag, toilet roll, baby wipes, towel, cream if applicable and usually the slide sheet ready. By not having everything ready you will have to stop what you are doing and go and get things. The individual during this time is rolled on their side and no doubt in some discomfort and delaying the proceedings to go and get things only increases this discomfort. After providing care all materials

The protocol established outlined that patients and staff should use the closet exit to where they are located in the hospital, along with several different locations as meeting/ collection points (). In additions, the protocol also outlined that those who are ambulatory should walk out of the building and those who were non-ambulatory should be provided assistance out of the building (). Assistance out of the building for non-ambulatory patients meant that hospital staff carried them out of the building using backboards, mattresses and other evacuation devices