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Clinical Handover
PP4 Clinical Handover and Isobar
| Question | Answer |
|---|---|
| What is a clinical handover? | Transfer or responsibility+relevant clinical information pertaining to a patient or a group of patients from one health professional to another on a temporary/permanent basis OR when patient care is transferred between facilities providing allied health |
| When is clinical handover used in transferring between facilities? | to another hospital or agency to/from the community (handover to gp, comm pharmacy) transfers for a test/appointment escalation of a deteriorating patient |
| When is clinical handover used in transferring within a facility? | Escalation of a deteriorating patient Transfer to another ward Shift changes Transfers for a test/appointment Multidisciplinary team handover |
| When is it appropriate to use an informal handover? | When the handover still complies with the principles f a clinical handover. Responsibility of each clinician to determine if appropriate care/services would still be carried out without a formal handover. If there is doubt=formal handover. |
| Why is a clinical handover so important? | Client safety and care, increases efficiency of care, supports the development of networks and provision of clinical education through second opinions, treatment outcomes and new protocol provision |
| What are the consequences of an ineffective handover? | Incorrect treatment, delays in diagnosis and treatment, adverse events, increased length of hospital stay and readmissions, increase in $$, unnecessary tests, treatments and comms, patient complains, malpractice claims |
| Why are handovers standardised? | effective, concise, inclusive comms between allied HP's. Assist with moving between facilities, receiving handover from multiple facilities and student training, vital to protecting patient safety and timeliness of care received. |
| List the allied health professionals that have a guideline for handover | dietetics, speech pathology, physio, OT, social work, psych, pharmacy, audiology, podiatry (HP's not part of medical, nursing or dental) |
| What are the key principles of a standardised clinical handover? | Patient/carer involvement Consistent structure and content (ISOBAR) Leadership and complete team involvement Agreement on responsibilities and accountability Appropriate modality Appropriate environment Patients of concern Education |
| According to the WA allied health guidelines, list all the scenarios when handover should occurr | Mutlidiscplinary team handover Shift handover (cont and non cont coverage) Escalation of a deteriorating patient Patient transfer for test or appintment patient transfers to another ward Transfer to another facility Inpatient community, in to outpat |
| What is the gold standard modality for all of the handover scenarios? | Face to face in presence of patient/carer and with written notes |
| Which of the scenarios only recommend face to face in rsence of patient or face to face in a common area? | Mtultidisciplinary team handover |
| True or false: none of the handover scenarios allow for voice recdoring as an accepted handover method. | True |
| Which two modalities are not to evre be used for escalation of a deteriorating patient? | Voice recording and written only |
| What should accompany verbal handover for inter-facility transfers? | Supporting documentation should arrive with or before the patient |
Created by:
LDM
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