Hand-off Communication
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1 System Training Hand-off Communication May 2014
2 Objectives Define hand-off communication Explain the SHARED tool Demonstrate the use of SHARED Wake Forest Baptist Medical Center 2
3 Our Patient & Family Promise We will... Keep you safe. Care for you. Involve you and your family. Respect you and your time. Wake Forest Baptist Medical Center 3
4 An estimated 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed-off. ~Joint Commission Center for Transforming Healthcare October 2013 Wake Forest Baptist Medical Center 4
5 What is Hand-off Communication? A transfer and acceptance of patient care responsibility achieved through effective communication. A real time process of passing patient specific information for the purpose of ensuring the continuity and safety of the patient s care. Example: Someone enters a movie that has already started; you summarize the story to get them caught up, then they can watch the rest of the movie with clear understanding. ~Joint Commission Center for Transforming Healthcare October 2013 Wake Forest Baptist Medical Center 5
6 When Does Hand-off Communication Occur? During any transfer of patient care Shift change Meal breaks Procedures Transport Change in patient location Wake Forest Baptist Medical Center 6
7 Hand-off Communication Tool Clinical departments chose the acronym SHARED to guide all hand-offs. The SHARED tool provides a consistent, standardized process for hand-off communication in all clinical areas and allows the receiving person to ask questions. Wake Forest Baptist Medical Center 7
8 SHARED Tool Situation History Assessment Requirements Evaluation Documentation SHARED is a standardized outline that can be filled in based on the needs of the receiving person. Wake Forest Baptist Medical Center 8
9 SHARED View examples of the SHARED model: Nurse to Nurse Physical Therapy to Nurse Respiratory Therapist to Respiratory Therapist Wake Forest Baptist Medical Center 9
10 SHARED Situation May include: diagnosis; reason for hospitalization; current problems; code status; pt class (inpatient, observation, HIP, etc.); pertinent social issues History May include: allergies; brief history of current event or review of hospital course (transfers); pertinent PMH Wake Forest Baptist Medical Center 10
11 SHARED Assessment May include: VS/PEWS or EWS; I/O s, systems review (outside defined limits); pertinent labs/results; lines/drains; weight/weight change; pain assessment Requirements May include: isolation; O 2 ; telemetry; restraints; safety precautions (abuse protocol/pt Safety Assistant); interpreter; meds; specialty bed; diet; dressing changes; pending labs/procedures; communication barriers Wake Forest Baptist Medical Center 11
12 SHARED Evaluation May include: plan of care/next steps; response to treatments/therapy; trends; anticipated discharge and estimated LOS Documentation May include: use transfer and admission navigator; I/Os; care board; plan of care & patient education; event notes; provider notification; restraints; Do you have any questions? Wake Forest Baptist Medical Center 12
13 Summary SHARED is a standardized process ensuring the intentional, safe, responsible hand-off of care from one healthcare professional to another. The general outline will be the same for everyone, however the information included in each section will depend on the patient and needs of the receiving person. The goal is to ensure the person receiving the patient has all the information needed to practice safe care. Wake Forest Baptist Medical Center 13
14 Contact If you have questions or concerns, please Wake Forest Baptist Medical Center 14
15 Thank You! Pilot Units: Pediatrics, Peds ED, Day Hospital, Clinics, and Adult Inpatient Units Actors and Technical Support: Terri Gordon, Quintina Smallwood, Karen Taylor, Donna Gough, Cherrá Timberlake-Blount, Kal Makhlouf, Stephen Melaga, Crystal Wood, Steve Davis, and Lauren Leppert Hand-off Communication Team Wake Forest Baptist Medical Center 15
16 Course Code Your completion code is: SSHCM 1. Write down this code number 2. Click the Take Course Test button in PeopleSoft 3. Type the code number, then press your Enter key 4. You will be asked to enter your completion statement Wake Forest Baptist Medical Center 16
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