英語(yǔ)護(hù)理交班

英語(yǔ)護(hù)理交班匯報(bào)人：文小庫(kù)2024-03-20PreparationworkbeforeshifthandoverIntroductiontopatient'sconditionandkeynumberingpointsHandoverinstructionsfordrugs,devices,anditems目錄CommunicationandcollaborationrequirementsSummarizefeedbackandcontinuousimprovementplan目錄01PreparationworkbeforeshifthandoverCollectandcollectpatientinformation,includingbasicinformation,diagnosis,treatmentplan,numberingplan,etcEvaluatethepatient'scondition,includingvitalsigns,severity,painlevel,psychologicalstatus,etcIdentifypatientswhorequirespecialattention,suchasthosewithsevereIllness,complextreatmentplans,orpotentialsafetyhazardsSortoutpatientinformationandconditionGeneratereportsonpatientconditions,numberingactivities,andanyincidentsorissuesthatoccurredduringtheshiftEnsurethatallrecordsandreportsareaccurate,complete,anduptodatePrepareshifthandoverrecords,includingpatientinformation,numberingnotes,treatmentrecords,etcPrepareshifthandoverrecordsandreportsNotifytheincomingnumberornumberingteamabouttheupcomingshifthandoverInviteotherrelevanthealthcareprofessionals,suchasdoctors,pharmaceuticals,ortherapists,toparticipateinthehandoverifnecessaryConfirmtheavailabilityandparticipationofallrelevantindividualsNotifyrelevantpersonneltoparticipateinshifthandover01Agreeonasuitablelocationfortheshifthandover,suchasthepatient'sbed,numberingstation,orconferenceroom02Confirmthehandovertimeandensurethatitallowssufficienttimefortheoutgoingnursestoprovideacomprehensiveupdateonthepatient'sconditionandcareneeds03CommunicateanychangestothehandoverlocationortimetoallrelevantpersonnelinatimelymannerConfirmthehandoverlocationandtime02Introductiontopatient'sconditionandkeynumberingpointsCurrentbloodpressure,heartrate,respiratoryrate,andtemperatureVitalsignsKnownemergencies,chronicconditions,andrecentsurgeriesorproceduresMedicalhistoryDosages,frequencies,androutesofadministrationforallcurrentdiagnosesMedicationscheduleRecentbloodtests,urineanalysis,andotherdiagnostictestsRecentlabresultsSortoutkeypatientinformationAssessmentofpaintlevelsandeffectivenessofanalyticalmedicineornonpharmacologicalinterventionsPainmanagementDescriptionofWoundhealingprogress,dressingchanges,andanysignsofinfectionWoundcareMonitoringofdietaryintakeandfluidbalance,includinganynecessarynutritionalsupportorsupplementationNutritionandhydrationEvaluationofpatient'sabilitytomoveandparticipateinphysicaltherapyorrehabilitationactivitiesMobilityandexerciseElaborateonnumberingmeasuresandtheireffectsAssessmentoffactorsthatmayincreasetheriskoffalls,suchasunstablegainordizziness,andimplementationoffallpreventionmeasuresFallsriskIdentificationofpatientsatriskofdevelopingpressureulcersandimplementationofproactiveskincaremeasuresPressureulcersStrictadhesiontohandhypergenesandotherinfectioncontrolpracticestominimizetheriskofnosocomicinfectionsInfectioncontrolCarefulreviewofmedicalordersandadministrationrecordstopreventdoingerrorsoradversedrugreactionsMedicalerrorsAnalyzepotentialrisksandcountermeasuresDocumentationAccurateandcompletedocumentationofallnursingassessments,interventions,andpatientresponsestoinformfuturecaredecisionsOngoingmonitoringRegularassessmentofthepatient'sconditionandnumberingneedstoidentifyanychangesornewconcernspromptlyCommunicationClearandtimelycommunicationwithotherhealthcareteammemberstoensurecontinuityofcareandcoordinationoftreatmentsPatienteducationProvisionofeducationandsupporttopatientsandtheirfamiliestopromoteself-careandunderstandingofthetreatmentplanProposeareasforattention03Handoverinstructionsfordrugs,devices,anditemsVerifydrugname,dosage,andusagemethodEnsuretheaccuracyofthedrugnamebycrosscheckingwiththemedicaladministrationrecord(MAR)andthedruglabelConfirmthecorrectdosebycheckingthesubscribedamountandcomparingitwiththeavailabledrugstrengthClarifytheusagemethod,includingtherouteofadministration,frequency,andanyspecialinstructionsforpreparationoradministration

ChecktheintegrityandexpirationdateoftheequipmentInspectmedicaldevicesforanysignsofdamage,suchascracks,leaks,ormalfunctioningpartsVerifythattheequipmentisingoodworkingorderbytestingitsbasicfunctionsChecktheexpirationdatetoensurethattheequipmentisstillwithinitssafeandeffectiveuseperiodIdentifythestoragelocationofeachitemandconfirmitsaccessibilityforfutureuseLabelitemsclearlywiththeirnamesandstoragelocationstofacilitateeasyretrievalCountthenumberofitemstoensurethattheymatchtheinventoryrecordConfirmthequantityandstoragelocationofitemsProvidespecificsafetyinstructionsforusingmedicaldevices,suchaswearingprotectivegearoravoidingcancerhazardsEmphasisontheimportanceofadvertisingtoinfectioncontrolmeasureswhenhandlingitemsthatmaybecontainedHighlightanyspecialhandlingrequirementsforbugs,suchastheneedforreflectionorprotectionfromlightEmphasisspecialpreparations04CommunicationandcollaborationrequirementsEstablishstandardcommunicationchannelsUtilizehospitalapprovedcommunicationtools,suchaspages,phones,orelectronichealthrecords(EHRs),toensuresmoothandeffectivecommunicationDefinecommunicationprotocolsOutlineclearproceduresforinitiating,respondingto,andacknowledgingcommunication,includingtheuseofstandardphrasesandabbreviationsEncouragefacetofacecommunicationWheneverpossible,resourcenumberstocommunicatedirectlywitheachother,specificallyduringcriticalorcomplexhandlersClarifycommunicationchannelsandmethodsVerifyinformation01Alwaysconfirmtheaccuracyofinformationreceivedfromothernursesorhealthcareprofessionals,andupdaterecordspromptlytoreflectanychangesPrioritizeupdates02Ensurethatcriticalinformation,suchaschangesinapatient'sconditionortreatmentplan,iscommunicatedimmediatelyandgiventoppriorityEnhancefeedback03Enhancenursestoprovidefeedbackontheaccuracyandcompletenessofhandoverinformation,andusethisfeedbacktoimprovefuturehandoversEmphasisinformationaccuracyandtimelineAdvocateforTeamworkSpiritEnhancenumberstoaddressconflictsormisunderstandingsstructurally,seekingassistancefromsupervisorsorotherresourceswhennecessaryResolveconflictsstructurallyEncouragenursestoworktogetherasateam,examiningeachother'srolesandresponsibilities,andcollaboratingtoachievecommongoalsFosteracultureofteamworkKnowledgeandcellularteamachievements,andrewardindividualcontributionsthatsupportteamsuccessRecognizeandrewardteameffectsPrepareforemergenciesFamiliarizeyourselfwithemergencyresponseproceduresandensurethatallnecessaryequipmentandresourcesareavailableandinworkingorderCommunicateclearlyinanemergencyUseclear,conditionlanguagetocommunicatecriticalinformationquicklyandaccuratelyduringanemergencysituationCoordinatewithotherhealthcareprofessionalsWorkclosewithdoctors,hospitals,andotherhealthcareprofessionalstoensurethatpatientsreceivetimelyandappropriatecareduringanemergencyEmergencyresponseplan05SummarizefeedbackandcontinuousimprovementplanNumberofpatientsandtheirconditionsSummarizethetotalnumberofpatientshandledover,alongwiththeirrespectiveconditionsandanyspecialrequirementsorconcernsKeyinformationcommunicatedHighlightthemostimportantinformationthatwascommunicatedduringthehandover,suchaschangesinpatientstatus,treatmentsadministered,oranypendingtasksEffectivenessofcommunicationEvaluatehowwelltheinformationwascommunicated,includingtheclarityandaccuracyofthemessages,andboththerewereanymisunderstandingsoromissionsSummarizethehandoversituationthistimeIdentifyanygapsorinconsistenciesintheinformationprovidedNoteanydiscrepanciesorinconsistenciesinthepatientinformation,suchasmissingdetailsorconflictingreportsAssesstheimpactonpatientcareDeterminehowtheseissuesmayhaveaffectedpatientcare,includingpotentialdelays,complications,orsafetyrisksIdentifyanyunderlyingcausesAnalyzetherootcausesoftheseproblems,suchasinadequatetraining,poorcommunicationskills,orsystemicissueswithinthehealthcarefacilityFeedbackonexistingissuesandshortcomingsEnhancecommunicationskillsandprocessesRecommendspecifictrainingorresourcestoimprovecommunicationskillsandensurethatallrelevantinformationisaccuratelyandconsistentlyconsideredduringhandoverImplementchecklistsandstandardizedprotocolsS