Clinical Handover Flashcards
1
Q
What is handover?
A
Transfer of professional responsibility and accountability for patient care to another
2
Q
Consequences of poor clinical handover
A
- Delays in diagnosis, treatment and care
- Repeated or missed tests
- Incorrect treatment
- Medication error
3
Q
Failures in Handover
A
- Major cause of preventable harm to patients
- Adverse events increase during transition of care, patient transfer between units and physicians
4
Q
When does handover occur?
A
- Shift change
- Patient transfer (for test, procedure, surgery, to another ward or hospital)
- Admission and discharge
- Call for help with deteriorating patient
5
Q
Plan for handover
A
- Clear, concise, structured (ISBAR)
- Identifies unstable patients
- Involves patient when practical; give them opportunity to ask info
- Assigns/ accepts accountability and responsibility
6
Q
Items to assist in handover
A
- Handover sheets
- SAGO charts and patients clinical notes
- National Inpatient Medication Chart (NIMC)
- Fluid Balance Chart (FBC)
- Blood results
7
Q
ISBAR: Identify
A
- Identify yourself and the patient
- Your role, position and ward
- Identify patient (name, DOB, MRN)
8
Q
ISBAR: Situation
A
- How long have they been in hospital? / How long after surgery?
- Problems and symptoms
- Stable or unstable
9
Q
ISBAR: Background
A
- Where does patient live? Assistance needed or independent
- Diagnosis and symptom history
Social history - Medications and allergies
- Falls risk, infection status
10
Q
ISBAR: Assessment
A
- A- G assessment
- Vital signs
- IVC or IVF and order
- Planned treatments and procedures, patients understanding of treatment plan
11
Q
ISBAR: Recommendation
A
- Recommendation for ongoing care; clear timeframes for what happens next and any risks
- Planned procedures, treatments and results
- Assign and accept responsibility
