Handover Patient Communication

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

Evaluation is the third stage of Gibbs model of reflection and requires me to state what was good and bad about the event. While reflecting back on the incident I felt that there was one thing which I could have dealt with differently and also some aspects which demonstrated good practice. On the first hand, this incident made me realised that I was part of the team and that I was also involved in positioning and preparing the patient prior to surgery, therefore I had a responsibility to find out from the patient if he had any concerns. On the other hand, I should have communicated to the patient, explaining what I was about to do maybe he would have had the opportunity to raise his problem with the shoulder before lifting his arm. The Health Professions Council (HPC 2008) clearly states that it is the responsibility of an operating department practitioner to ensure that effective communication occurs when delivering patient care. In addition, Psychologist Helmreich, R. (2000) said, `better communication’ is being the most useful way of reducing errors.

Pulse rate is at 72. The blood pressure was 140 / 95,which is suggestive of high blood pressure and related to his medical history. No heart murmur was noted, and no other abnormalities were noted.

Mr. Smith is a 56-year-old Caucasian man who is being evaluated in the emergency room with progressively worsening chest pain that began 2 hours ago. The patient describes the pain as pressure in the center of his chest. He rates his pain 7/10. He reports the pain is now radiating down his left arm and through to his back, he is diaphoretic, and complaining of shortness of breath. He denies nausea or vomiting.

He is well-built well-nourished slightly obese male not in any distress. He has stable vitals, blood pressure 117/79, pulse 78, pulse ox 97 room air, temperature 98.2. HEENT: Head atraumatic, normocephalic. Pupils equal, react to light. Chest is clear to auscultation with occasional crackles in the bases with good expansion on. Abdomen is soft, nontender. Musculoskeletal exam is unremarkable with no active synovitis in any joints. He has good muscle strength. Right forearm has a nonhealing ulcer with integrated margins approximately 1 inch oval. He has extensively tattered skin.

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

jacket. This pain should not affect the patient’s ability to feed himself or use the toilet because

When our patients make requests as nurses we have to try our best to meet their needs and also their desires as long as it is safe for the patient and practitioner. Morphine sulfate is a drug that we can administer subcutaneously and for adults the recommended sites are ventrogluteal or deltoid, but before we administer the drug some considerations we must consider are:

Also, there are hardly communication barriers between them. Accordingly, this could be explained that they had a completely handover performance as a result of effective inter-professional communication and collaboration in order to optimise patient’s outcome.

During my rotation there I observed patients coming in with chest pain and abdominal pain. The patients with chest pain had an

Communication is very important when it comes to the information that nurses are given when treating a patient. If there is not good communication between nurses, especially between shifts and handoffs, consequences can happen, including the possibility of a sentinel event. According to Yoost and Crawford, 70% of the sentinel events that happened in 2005 were due to communication breakdown, with communication breakdowns during handoffs being the reason behind 50% of these events (p.137). There are different ways that nurses can handoff information to another nurse, with bedside report being one of the ways that is suggested to reduce the amount of communication errors. This paper will explain what makes bedside report safer for the patients

Communication within the surgical team was extremely efficient. Everyone was very informative with one another, which helped the procedures move smoothly and effectively. All surgical procedures began with verification of the patient, surgical procedure, and surgical site. Although, in the article, “Why a RN in the OR?” explained that every member of the surgical team performed the verification individually, in this case, the circulating nurse simply read aloud the patient’s information along with stating the surgical procedure and site. Moreover, throughout a majority of the procedure, most of the communication consisted of the surgeon and the surgical technicians. The surgeon was mainly the individual to give commands

Quantia, I agree patient handoff and report is imperative to positive patient outcomes. I also understand the reality of the actual experience and the many opportunities for distractions and missed communications during this part of patient care. The transferring of patient care must occur numerous times in a patients stay in the hospital or even just in the initial admission stage in the emergency department. For example, patients are transferred from the nurse’s care to various departments including medical imaging and ultimately from the emergency department to the floor for their stay in the hospital. My current organization recently mandated bedside report, nurse to nurse verbal report for all units and also implemented the use of SBARs

Advocacy is one of the essential roles of the nurse and allows for nurses to use their voice to influence policies that ensure patient safety. Promoting patient safety and using whistle-blower protection are strategies the nurse can use to effectively support quality care and safe environment (Cherry & Jacob, 2017). Approximately 44,000 to 98,000 patients die in hospitals each year as a result of preventable medical errors (Cherry & Jacob, 2017). One way to support a safe and quality care to patients is by limiting interruptions during medication administration (Flynn, Evanish, Fernald, Hutchison, & Lefaiver, 2016). Additionally, incomplete handoff reports have been associated with poor patient outcomes (Kear, 2016). Kear (2016) recommends systematic tools for handoff communication such as SBAR (situation, background, assessment, & recommendation) for effective handoff reports.

Patient hand-offs have become an integral part of patient care throughout the continuum of medical care. Patient hand-offs occur anytime in the care of a patient that one provider is “handing off” the responsibility of care from one’s self to another provider. During this time a lot of important information must be conveyed clearly and succinctly specifically because the human brain can absorb and retain only so much information at one time. This issue is even more important since the implementation of ACGME work hour restrictions which has led to more hand-offs occurring than ever before. During each and every hand-off there is risk for errors. Therefore, there needs to be further research into the methods and