Nursing Patient Handover Isobar Format Order Instructions:
Topic is mentioned below.
• APA Referencing
• At least 10 genuine references from 2010 to 2016 study based,
• 90 % references has to be research based peer reviewed Journal article AND books
• Australian and New Zealand based study articles are preferable.
• Please have a look Rubric guideline for given topic, I need good grades in this assignment so please do me a favour and try to make a good reflection using
You are working on the morning shift on the ward, and receive a patient from ED. The ED nurse provides you with the following handover, using the ISOBAR format
Please put this link in to google, it will work. It is a verbal handover link
Then please answer the following briefly with your appropriate rationales in detail please
1. What further questions will you need to ask the nurse?
2. List specifically what further assessment you would complete, when the patient arrives onto the ward.
Nursing Patient Handover Isobar Format Sample Answer
Patient Handover: Isobar Format
Handovers are critical in nursing. Unless nurses communicate effectively, mistakes could occur hence placing patients at a loss (Street et al., 2011). Among other things, patient diagnoses, laboratory tests, treatment plan, current situation, history, and considerations are important to highlight during the transition of care. Nurses handing over patients should be willing to give as much information as necessary so that their incoming counterparts are best placed to continue providing care (Chaboyer, McMurray, Wallis, 2010). On their side, nurses receiving patients are obliged to seek clarification on each aspect that they would perceive unclear.
In the presented case, it would be necessary for the incoming nurse to inquire whether there are any anticipated risks regarding the patient (Matic, Davidson, & Salamonson, 2011). The ED (Emergency Department) nurse should explain the patient’s progress and indicate whether there is improvement or deterioration. Such information as Bogossian et al. (2013) wrote would guide the incoming nurse on monitoring the patient and determining the necessary tasks to handle the patient’s situation.
It would also be important for the nurse to know whether there is any sensitive information such as patient preferences, family involvement, and patient understanding of information and his sensitivity to the same. According to Kerr et al. (2011), such clarification would enable the nurse to associate wisely and ground a healthy interaction with the patient. On the same note, the nurse would avoid asking questions that may disturb the patient.
Additionally, the ED nurse should explain whether the doctor requesting the upfront tests would be available so that the incoming nurse can make the necessary plans. Such an approach would minimize time wastage and also put the nurse at a position to deliver accurate information to the patient.
Finally, the ED nurse should indicate whether there are other persons involved in the case so that the incoming nurse can link with them for continuity of care for the patient. Care consolidation would increase the efficiency of investigations, assessments, as well as management (Birks et al., 2013).
In addition to the indicated tests, the nurse would also carry out systematic assessments. These would include both shift and focused assessments. Since the patient is having a respiratory complication, assessment on the respiratory system should be a priority (Johnston, Maxwell, & Alison, 2011). Such an assessment would inform the practitioner on nursing outcomes as the patient undertakes the indicated treatment procedures (Birks et al., 2013).
Pain assessment would also be crucial so that the nurse can evaluate the necessity of pain medications. It could also indicate tissue damage and therefore, documentation would be necessary for development of further management strategies (Devita et al., 2010). By determining the progress of pain, the nurse can assess whether the patient’s health is improving. As Cooper et al. observed, nurses’ ability to rescue patients with a deteriorating health would depict clinical expertise (2011). The nurse should also assess the patients throat, mouth, ears, and nose for infections as there could be high chances of the patient getting infections or trauma in these organs.
The nurse may also assess the immune system. The assessment would not only give light on the progress of disease, but it would also inform whether the patient is allergic to the prescribed medications (Fayers & Machin, 2013). The nurse should be keen on patient’s response to treatment as such information would be handy for the development of appropriate treatment plans (Buykx et al., 2011).
Nursing Patient Handover Isobar Format Reference
Birks, M., Cant, R., James, A., Chung, C., & Davis, J. (2013). The use of physical assessment skills by registered nurses in Australia: Issues for nursing education. Collegian, 20(1), 27-33.
Bogossian, F., Cooper, S., Cant, R., Beauchamp, A., Porter, J., Kain, V., & Phillip, N. (2013). Undergraduate nursing students’ performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: An Australian multi-centre study. Nurse Education Today, 34(5), 691-696.
Buykx, P., Kinsman, L., Cooper, S., Henry, T., Cant, R., Endacort, R., & Scholes, J. (2011). FIRST2ACT: Educating nurses to identify patient deterioration — A theory-based model for best practice simulation education. Nurse Education Today, 31(7), 687-693.
Chaboyer, W., McMurray, A., & Wallis, M. (2010). Bedside nursing handover: a case study. International Journal of Nursing Practice, 2010(16), 27–34.
Cooper, S., McConnell-Henry, T., Cant, R., Porter, J., Missen, K., Kinsman, L., … Scholes, J. (2011). Managing deteriorating patients: registered nurses’ performance in a simulated setting. The Open Nursing Journal, 5, 120–126.
Devita, M. A., Smith, G. B., Adam, S. K., Buist, M., Bellomo, R., Bonello, R. . . . & Winters, B. (2010). Identifying the hospitalised patient in crisis”—A consensus conference on the afferent limb of Rapid Response Systems. Resuscitation, 81(4), 375-382.
Fayers, P. M., & Machin, D. (2013). Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley & Sons.
Johnston, C. L., Maxwell, L. J., & Alison, J. A. (2011). Pulmonary rehabilitation in Australia: a national survey. Physiotherapy, 97(4), 284-290.
Kerr, D., Lu, S., McKinlay, L., & Fuller, C. (2011). Examination of current handover practice: Evidence to support changing the ritual. International Journal of Nursing Practice 2011(17), 342–350.
Matic, J., Davidson, M., & Salamonson, Y. (2011). Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Journal of Clinical Nursing, 20(2), 184-189.
Street, M., Eustace, P., Livingston, P. M., Craike, M. J., Kent, B., & Patterson. D. (2011). Communication at the bedside to enhance patient care: A survey of nurses’ experience and perspective of handover. International Journal of Nursing Practice, 2011(17), 133–140.
