Which statement by the nurse reflects the process occurring in the clinical interview?
TABLE 9-1 Show
NONVERBAL BEHAVIORS
Note: This guideline is currently under review. Aim Definition of Terms Management Responsibilities Clinical Handover Companion Documents Links
Evidence
Table IntroductionThis guideline sits under the procedure Clinical Handover. The purpose of this guideline
is to provide nurses across the campus with a structured approach for the safe communication of clinical handover.
AimTo provide a framework for nursing clinical handover at the RCH. Definition of terms
Management Responsibilities The Nurse Unit Manager’s (NUM) has responsibility for compliance with the clinical handover. The operational leadership of
handover and allocation of nurses to patients is usually the role of the Associate Unit Manager (AUM).
The NUM and/or AUM has the responsibility to ensure that the following principles are applied:
Clinical HandoverGroup Handover (inpatient, ward based)
Bedside Handover (inpatient, ward based)
Break Handover (inpatient, ward based)
Transfer of patient within the hospital (for procedure, treatment or to another ward)All patients transferred to from one clinical area to another clinical area require handover to be documented in the EMR. This includes details of the transfer time indicating a transfer of professional responsibility and accountability
Positive Patient identification process occurs to confirm full name, date of birth and Medical Record Number (MRN) to the EMR as per the RCH Patient Identification Procedure
Clinical alerts are identified (e.g. FYI flags, allergies, infection control precautions, MET modifications)
The handover is documented in the EMR
A patient can be transported by CARPs, parents/ carers if the patient is assessed as:
A patient must be
escorted by the nurse if the patient is assessed as:
Inpatients to theatre
Theatre patients back to wards
Rosella and Butterfly
patients to theatre
Ambulatory Care patient to another clinical area
Non Clinical Activities
NB Patients colonised with a multi-resistant organism may only leave ward/room with agreement by
treating team or Infection Prevention and Control Patient Discharge
Companion documents
Links
Evidence tableEvidence table for Nursing Clinical Handover Nursing Guideline. Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Danielle Mee, Nurse Educator, and approved by the Nursing Clinical Effectiveness Committee. Updated August 2019. |