Then answer the following questions, taking the information from the Case Scenar
ID: 305919 • Letter: T
Question
Then answer the following questions, taking the information from the Case Scenario for the assignment. You may need to “make up” some information to answer these questions. 1. What are the major issues in the case scenario? 2. What information is missing from the Case Scenario? 3. As the nurse taking care of the patient, what actions did you take? Include this information in the appropriate section of the SBAR for your Handoff Report. Use ESBAR chart to answer section 2, question 1 and 2. Patient Profile You have been working a 12 hour day shift providing care for Mrs. L, a 42 year old female who is one day post op total abdominal hysterectomy. You will give the Handoff Report to the nurse working a 12 hour night shift. The following is information from your shift: Subjective Data ? States her pain level is 4 out of 10 after pain medication is administered ? Lives alone ? 20 years ago Mrs. L’s mother had a hysterectomy but died 10 days after from surgical complications Objective Data ? Abdominal dressing is stained with dried dark red drainage ? V/S at 1200: T – 37.2 °C, P – 82, R – 22, BP – 130/76, O2 sat – 96 % ? Fine crackles audible in lower bases of lung fields ? Foley removed at 0600, has not voided since Collaborative Care ? Medications o Morphine sulfate 5 mg IV Q3H PRN for pain ? V/S Q4H ? Activity: Ambulate to bathroom with assistance ? Diet: Clear liquids ? An incentive spirometer is at the bedside At 1400 you assisted Mrs. L to the bathroom where she voided 400 ml. When she settled back into bed, Mrs. L requested pain medication which you administered at 1415. At 1800 Mrs. L states her pain level is 8 out of 10. You take out an ampule labeled hydromorphone 10 mg/mL and administer 0.5 mL to Mrs. L. Part 2 – Leadership For this part of the assignment, you are asked to write a short (maximum 2 pages) summary by answering the following question: ? How does leadership and communication influence the Handoff Report/SBAR? A minimum of two (2) references are to be used to support your answer. Please review plagiarism guidelines. Plagiarized assignments will receive a grade of zero (0). Cite ALL references using proper APA format.
Explanation / Answer
Handoff report is the report about the patient's condition including the information regarding medications,diet,intake and output, what all procedures where done , vitals etc which are communicated by the previous shift nurse to the next shift nurse . It is the brief summary of what all the previous nurse has done for the patient in the last 8-12 hrs.
Handoff report is very important and has a major role in the patient's improvement , safety and early discharge.
In a handoff report we are transferring the responsibility and accountability of a patient to another health care staff.
Effective communication is the essential part or the backbone of handoff report . When we are transfering information it is basically we are communicating . Ineffective communication can lead to many complications like for example haven't informed about the medication given and the next shift nurse administers the medicine second time again ,leads to double dose of some high risk drugs may cause fatal complications etc. Ineffective communication in the handodd report occur by the following ways:-
-The handover report is not complete.
-Inadequate information regarding the procedure or actions to be done for the patient
-Language problems
-Unable to recognize the writing due to poor quality of handwriting (what is written in the chart etc)
-No written documentation, more rely on memory
-Poor patient involvement.
-Multiple staffs involved in the care of the patient.
For the effective communication during handoff report we must have standardized structure of communication which should include the components- that whom should provide handoff report, what specific information to be transferred, how much time should be taken , the surrounding environment during communication of handoff reports .
Handoff reports must be short and accurate . The written information about the patient must easy readable and of good quality , legible ,no over writings, cuttings.
While verbal communication use a language which is understood by both the medial staff and patients .Minimise interruptions, and different slangs.
Set time for communicating the handover report to avoid unnecessary stretching and surrounding environment should be calm and quiet moderately to avoid noise barrier.
For effective communication currently the health care professionals are using the SBAR - situation, background, assessment and recommendation technique .
Not only communication , leadership also plays a important role in effective handover . Leadership is to guide a person through a right track to attain a goal /aim .
The health care professionals must be led by a good leader through right track using standardization, effective communication, to attain their goal of effective handoff reports.
The supervisor should supervise and train the staff about handoff report . Periodic evaluation of handoff reports must be done to improve the level . No bias against any staff members , everyone should be treated equally . By the use of effective communication and leadership tools we can have a effective handoff reports which will help in safety ,health improvement of patient.
Reference -Eggins S, Geddes F , Slade D editors., eds. Effective communication in clinical handover from research to practice . Patient safety 16. Berlin: D Gruyter Moutan ; in press.
World Health Organization . On ten facts of patient safety 2014.
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.