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Related Concept Videos

Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-off Report

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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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SBAR I: Understanding the Concept01:29

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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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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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Assessment of apical radial pulse01:25

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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Assessment of apical pulse01:17

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Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
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Updated: May 8, 2025

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
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Assessing the White's Fast-Track Score for Postoperative Handoff Between the Operating Room and the Postanesthesia

Tiffany Lin1, Remi Hueckel1, Brittany Fry1

  • 1Duke University School of Nursing, Durham, NC.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|March 28, 2025
PubMed
Summary
This summary is machine-generated.

The White's Fast-Track Score (WFTS) tool significantly improved operating room (OR) to postanesthesia care unit (PACU) nursing handoffs, increasing communication accuracy and staff satisfaction. Consistent use and training are key to sustaining these benefits for patient care.

Keywords:
PACUfast-trackinghandoffoperating roompostoperative

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Area of Science:

  • Nursing
  • Quality Improvement
  • Patient Handoffs

Background:

  • Effective communication during patient handoffs is crucial for patient safety.
  • Standardized tools can improve the consistency and accuracy of information transfer.
  • The transition from the operating room (OR) to the postanesthesia care unit (PACU) is a critical point for patient handoffs.

Purpose of the Study:

  • To assess the sustainability and impact of a standardized nursing postoperative handoff process.
  • To evaluate the effectiveness of the White's Fast-Track Score (WFTS) tool in OR-to-PACU handoffs.
  • To measure changes in communication accuracy, handoff duration, and staff satisfaction.

Main Methods:

  • A quality improvement project utilizing an observational pre-post design.
  • Data collected from OR and PACU registered nurses (RNs) in a single endocrine surgery OR.
  • Evaluation of WFTS tool implementation, measuring percentage of items communicated, handoff duration, and staff satisfaction.

Main Results:

  • Handoff communication accuracy significantly increased from 66.0% to 97.3% post-implementation.
  • Handoff duration decreased from a mean of 1:13 (SD=0:43) to 0:55 (SD=0:38).
  • Staff satisfaction scores improved, particularly in clarity and comprehensiveness of handoffs.

Conclusions:

  • The WFTS tool implementation significantly enhanced OR-to-PACU nursing handoff communication.
  • Sustaining benefits requires ongoing staff training and consistent tool utilization.
  • Future work should address implementation challenges and explore broader application of structured handoff tools.