Role of Nurses in Proper Clinical Handover -myassignmenthelp

Question: Write about theRole of Nurses in Proper Clinical Handover of Patients. Answer: The Australian Commission on Safety and Quality in Health Care (ACSQHC) has formed the ten standards on the National Safety and Quality Health Service (NSQHS) that aims in protecting the patients from any harm and effectively improve the quality provision of health service. They deliver effective methods in order to ensure that minimum safety and quality standards are met with an improved mechanism to understand the developmental goals (Phillips, et al., 2014). Among the10 standards, the standard 6 is about clinical handover that aims in ensuring timely, well framed and relevant handover that sets the clinical setting and handover standards. Organising the clinical handover effectively can minimise the communication errors in between the health professionals and thus increase the safety and care of the patients (Hesselink, et al., 2012). Problems in clinical communication are one of the important risk factors in about 70% hospitals that usually rise at the transient period when the p atient is shifted between units, clinicians and teams (Tappenden, et al., 2013). Inaccurate clinical handover exert adverse affect resulting in delayed diagnosis and treatment, skipped or duplicated tests resulting to wrong treatment with administering wrong medication to the patients (Eggins, S., Slade, D., 2012). The other discrepancies are communication problem due to variation in gender, ethnicity and hierarchy. Thus, the achievement of an effective clinical handover is met based on three criterions such as the implementation of an effective handover system by the health organizers, the health service should have well documented and well framed processes of clinical handover in place and lastly organizations should establish techniques to incorporate patients and nurses in handover processes (Tolk, et al., 2015). The policies and procedures should be abided efficiently in order to help the care services in assisting the patient with respect (Thomas, et al., 2013). In this follo wing essay we will discuss the nursing role related to clinical handover of by proper communication and documentation of the patients. Values underlying clinical handover. The first principle is that the clinical handover should actively include the participation of the patient, the nurses and the clinicians (Drach?Zahavy, et al., 2015). The clinicians should listen to the information provided by the patients and the nurses in order to understand the situation. Apart from the clinicians, it is important for the patients and nursing department to know the current progress with required treatments and care planning. This principle of active involvement thus can reduce the risk of experiencing adverse event by the patients (Barello, et al., 2015). Preparation and organisation of handovers. The clinical handover needs to be prepared before the time of handover. The nursing staffs should make the handover at a given time and place. All the relevant documents and the notes about the progress should be regularly updated and should be available during the handover time. Along with verbal handover, the nursing staff should also provide documentation in the form of handover sheets. A designated nurse should punctually share all the relevant communication as handover surrounds the patients safety and employees protected and paid time. All the environmental issues such as safety and health issues that can affect the shift should be informed to the incoming nursing team. Thus, to avoid the miscommunication the handover should always contain the points such as patients requiring immediate treatment, with high acuity, deteriorating, extra safety measures for patients with infections, discharging or transferring patients and allocating the staffs and nurses (Drews A., 2013). The handover should also include accountability transfer and responsibility that assists in accurate communication of critical information among the clinicians (Eggins, S., Slade, D., 2012). Constituents of clinical handover. The nursing staff should process the handover in a structured and well documented manner in order to ensure that every participant knows the information, the handover purpose and also the documentation that has to be shared (Kerr, et al., 2014). The information is shared within the clinicians of one discipline, to other discipline, to the wards within the heath service during shift change, from one to another ward, during transferring the patient to other facility, on patient discharge or whenever the condition warrants. In order to ensure that relevant information are shared by the nursing staffs, tools based structured handover are used that encourages the patient assessment, improves communication thereby saving time both for assessment and clinicians. To help the clinicians remember the information for handover, many acronyms are used (Holly, C., Poletick, B., 2014). Methodologies. Whenever possible the interacting and clarification should be conducted in front apart from verbal handover comprising of updated information of patient. The supportive tools can lower the risk of skipping information, can improvise the information retention, and reduces repetition and handover length (Bost, et al., 2012). It is important that the information provided is fully clear to the person receiving the handover by the clinicians though the patients are stable (Dawson, S., L., Grantham, H., 2013). Role of nurse providing the handover. The nursing staff should maintain the confidential information and the privacy of the patient in the handover. While escorting a patient by non-staff, a verbal handover should be provided to the allocated person receiving the patient in order assumes the responsibility and accountability (Johnson, et al., 2012). All the transfer details and discharge details should be well discussed both with patient and nurse. While handing the patients to clinicians, they should be informed about the patients present status and admission time. The details of patients identity and stability should be assessed properly in order to prepare the handover during transferring or at discharge time(Pham, et al., 2012). Documentation should be updated comprising of preparing the handover forms and progress notes. The forms should include the date of admission and diagnosis, any events at the time of admission, complete discharge summary, any kind of risk with preventive strategies and referrals. During receiving the handover, nurse in charge should communicate to the patient and care giver. While communicating with clinicians, the nurse should be completely aware of the admission time and other relevant details regarding the patient and clarify if unsure about anything (Manias, et al., 2016). The nurse should perform an overall assessment and record the findings regarding progress along with complete documentation of medication and fluid charts. Any doubts arising should be immediately clarified with clinician before taking the patients charge. Proper availability of all the patients related documents should be (Dawson, S., L., Grantham, H., 2013). Engaging with patients and nurses. The nurses should educate the requirements and role of clinical handover to patients and caregiver. This attitude can bring out a concerned issue and can be effective in treating the patient (Caligtan, et al., 2012). The need of exchanging the information is to provide further information that was not available with clinicians. The patients and caregiver should get acquainted with the current status followed by treatment and care planning. Both the patient and caregiver should point out any query with the team of health care. Excluding English, information should be provided in other languages. The staff should ensure that patient and caregiver both remain updated about the courses of treatment along with discharge information (Smeulers, et al., 2012). Evaluation and reporting adverse affects. The nursing staff should participate in auditing the clinical records and evaluate the documentation to improve the practices (Towers L., 2013). Nurse in charge, allocated medical officer should be aware of any poor or unavailability of clinical handover and should be entered in clinical record thereby reporting to the risk management system (Markar, H., O'Sullivan, G., 2012). These events should also be informed to patients and caregiver thus implementing the organizations disclosure. The trends based information can then be utilized to improve the system, protocols, policy and equipments along with improving training activities and education (Pham, et al., 2012). 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