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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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Types of Reports I: Hands-off Report01:25

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Bedside handover with structured and relayed forms in a postanesthesia care unit: A pre- and post-implementation

Guoyong Yang1, Xianxian Zang2, Caiyun Li3

  • 1Postanesthesia Care Unit, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.

Applied Nursing Research : ANR
|September 18, 2022
PubMed
Summary
This summary is machine-generated.

Structured bedside handovers improved communication elements for postoperative patients. However, this did not reduce adverse events or length of hospital stay, suggesting a need for tailored handover forms.

Keywords:
CommunicationComparative studyNursesPatient handoverPostanesthesia nursing

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Area of Science:

  • Healthcare quality improvement
  • Patient safety
  • Nursing communication

Background:

  • Early postoperative patients are vulnerable to communication errors.
  • Information loss during bedside handover poses risks.
  • Poor communication can negatively impact patient well-being.

Purpose of the Study:

  • To evaluate if structured and relayed forms for shift-to-shift bedside handovers enhance handover elements.
  • To determine if these structured handovers reduce adverse events and postoperative length of stay.

Main Methods:

  • A quality improvement project in a postanesthesia care unit (PACU).
  • Pre- and post-implementation comparison of unstructured vs. structured bedside handovers.
  • Measured appropriate handover elements, adverse events, and length of stay.

Main Results:

  • Seventeen out of 21 handover elements improved post-implementation.
  • No significant change in the incidence of adverse events.
  • No significant change in postoperative hospital stay.

Conclusions:

  • Structured and relayed bedside handovers enhance appropriate handover elements.
  • This structured approach did not impact adverse events or length of stay.
  • Individualized handover forms may be beneficial based on specific unit characteristics.