英语护理交班

英语护理交班汇报人：xxx20xx-03-20PreparationworkbeforeshifthandoverIntroductiontopatient'sconditionandkeynumberingpointsHandoverinstructionsfordrugs,devices,anditems目录CommunicationandcollaborationrequirementsSummarizefeedbackandcontinuousimprovementplan目录01PreparationworkbeforeshifthandoverCollectandcollectpatientinformation,includingbasicinformation,diagnosis,treatmentplan,numberingplan,etcEvaluatethepatient'scondition,includingvitalsigns,severity,painlevel,psychologicalstatus,etcIdentifypatientswhorequirespecialattention,suchasthosewithsevereIllness,plextreatmentplans,orpotentialsafetyhazardsSortoutpatientinformationandconditionGeneratereportsonpatientconditions,numberingactivities,andanyincidentsorissuesthatoccurredduringtheshiftEnsurethatallrecordsandreportsareaccurate,plete,anduptodatePrepareshifthandoverrecords,includingpatientinformation,numberingnotes,treatmentrecords,etcPrepareshifthandoverrecordsandreportsNotifytheiningnumberornumberingteamabouttheupingshifthandoverInviteotherrelevanthealthcareprofessionals,suchasdoctors,pharmaceuticals,ortherapists,toparticipateinthehandoverifnecessaryConfirmtheavailabilityandparticipationofallrelevantindividualsNotifyrelevantpersonneltoparticipateinshifthandover01Agreeonasuitablelocationfortheshifthandover,suchasthepatient'sbed,numberingstation,orconferenceroom02Confirmthehandovertimeandensurethatitallowssufficienttimefortheoutgoingnursestoprovideaprehensiveupdateonthepatient'sconditionandcareneeds03CommunicateanychangestothehandoverlocationortimetoallrelevantpersonnelinatimelymannerConfirmthehandoverlocationandtime02Introductiontopatient'sconditionandkeynumberingpointsCurrentbloodpressure,heartrate,respiratoryrate,andtemperatureVitalsignsKnownemergencies,chronicconditions,andrecentsurgeriesorproceduresMedicalhistoryDosages,frequencies,androutesofadministrationforallcurrentdiagnosesMedicationscheduleRecentbloodtests,urineanalysis,andotherdiagnostictestsRecentlabresultsSortoutkeypatientinformationAssessmentofpaintlevelsandeffectivenessofanalyticalmedicineornonpharmacologicalinterventionsPainmanagementDescriptionofWoundhealingprogress,dressingchanges,andanysignsofinfectionWoundcareMonitoringofdietaryintakeandfluidbalance,includinganynecessarynutritionalsupportorsupplementationNutritionandhydrationEvaluationofpatient'sabilitytomoveandparticipateinphysicaltherapyorrehabilitationactivitiesMobilityandexerciseElaborateonnumberingmeasuresandtheireffectsAssessmentoffactorsthatmayincreasetheriskoffalls,suchasunstablegainordizziness,andimplementationoffallpreventionmeasuresFallsriskIdentificationofpatientsatriskofdevelopingpressureulcersandimplementationofproactiveskincaremeasuresPressureulcersStrictadhesiontohandhypergenesandotherinfectioncontrolpracticestominimizetheriskofnosoicinfectionsInfectioncontrolCarefulreviewofmedicalordersandadministrationrecordstopreventdoingerrorsoradversedrugreactionsMedicalerrorsAnalyzepotentialrisksandcountermeasuresDocumentationAccurateandpletedocumentationofallnursingassessments,interventions,andpatientresponsestoinformfuturecaredecisionsOngoingmonitoringRegularassessmentofthepatient'sconditionandnumberingneedstoidentifyanychangesornewconcernspromptlyCommunicationClearandtimelymunicationwithotherhealthcareteammemberstoensurecontinuityofcareandcoordinationoftreatmentsPatienteducationProvisionofeducationandsupporttopatientsandtheirfamiliestopromoteself-careandunderstandingofthetreatmentplanProposeareasforattention03Handoverinstructionsfordrugs,devices,anditemsVerifydrugname,dosage,andusagemethodEnsuretheaccuracyofthedrugnamebycrosscheckingwiththemedicaladministrationrecord(MAR)andthedruglabelConfirmthecorrectdosebycheckingthesubscribedamountandparingitwiththeavailabledrugstrengthClarifytheusagemethod,includingtherouteofadministration,frequency,andanyspecialinstructionsforpreparationoradministrationChecktheintegrityandexpirationdateoftheequipmentInspectmedicaldevicesforanysignsofdamage,suchascracks,leaks,ormalfunctioningpartsVerifythattheequipmentisingoodworkingorderbytestingitsbasicfunctionsChecktheexpirationdatetoensurethattheequipmentisstillwithinitssafeandeffectiveuseperiodIdentifythestoragelocationofeachitemandconfirmitsaccessibilityforfutureuseLabelitemsclearlywiththeirnamesandstoragelocationstofacilitateeasyretrievalCountthenumberofitemstoensurethattheymatchtheinventoryrecordConfirmthequantityandstoragelocationofitemsProvidespecificsafetyinstructionsforusingmedicaldevices,suchaswearingprotectivegearoravoidingcancerhazardsEmphasisontheimportanceofadvertisingtoinfectioncontrolmeasureswhenhandlingitemsthatmaybecontainedHighlightanyspecialhandlingrequirementsforbugs,suchastheneedforreflectionorprotectionfromlightEmphasisspecialpreparations04CommunicationandcollaborationrequirementsEstablishstandardmunicationchannelsUtilizehospitalapprovedmunicationtools,suchaspages,phones,orelectronichealthrecords(EHRs),toensuresmoothandeffectivemunicationDefinemunicationprotocolsOutlineclearproceduresforinitiating,respondingto,andacknowledgingmunication,includingtheuseofstandardphrasesandabbreviationsEncouragefacetofacemunicationWheneverpossible,resourcenumberstomunicatedirectlywitheachother,specificallyduringcriticalorplexhandlersClarifycommunicationchannelsandmethodsVerifyinformation01Alwaysconfirmtheaccuracyofinformationreceivedfromothernursesorhealthcareprofessionals,andupdaterecordspromptlytoreflectanychangesPrioritizeupdates02Ensurethatcriticalinformation,suchaschangesinapatient'sconditionortreatmentplan,ismunicatedimmediatelyandgiventoppriorityEnhancefeedback03Enhancenursestoprovidefeedbackontheaccuracyandpletenessofhandoverinformation,andusethisfeedbacktoimprovefuturehandoversEmphasisinformationaccuracyandtimelineAdvocateforTeamworkSpiritEnhancenumberstoaddressconflictsormisunderstandingsstructurally,seekingassistancefromsupervisorsorotherresourceswhennecessaryResolveconflictsstructurallyEncouragenursestoworktogetherasateam,examiningeachother'srolesandresponsibilities,andcollaboratingtoachievemongoalsFosteracultureofteamworkKnowledgeandcellularteamachievements,andrewardindividualcontributionsthatsupportteamsuccessRecognizeandrewardteameffectsPrepareforemergenciesFamiliarizeyourselfwithemergencyresponseproceduresandensurethatallnecessaryequipmentandresourcesareavailableandinworkingorderCommunicateclearlyinanemergencyUseclear,conditionlanguagetomunicatecriticalinformationquicklyandaccuratelyduringanemergencysituationCoordinatewithotherhealthcareprofessionalsWorkclosewithdoctors,hospitals,andotherhealthcareprofessionalstoensurethatpatientsreceivetimelyandappropriatecareduringanemergencyEmergencyresponseplan05SummarizefeedbackandcontinuousimprovementplanNumberofpatientsandtheirconditionsSummarizethetotalnumberofpatientshandledover,alongwiththeirrespectiveconditionsandanyspecialrequirementsorconcernsKeyinformationmunicatedHighlightthemostimportantinformationthatwasmunicatedduringthehandover,suchaschangesinpatientstatus,treatmentsadministered,oranypendingtasksEffectivenessofmunicationEvaluatehowwelltheinformationwasmunicated,includingtheclarityandaccuracyofthemessages,andboththerewereanymisunderstandingsoromissionsSummarizethehandoversituationthistimeIdentifyanygapsorinconsistenciesintheinformationprovidedNoteanydiscrepanciesorinconsistenciesinthepatientinformation,suchasmissingdetailsorconflictingreportsAssesstheimpactonpatientcareDeterminehowtheseissuesmayhaveaffectedpatientcare,includingpotentialdelays,plications,orsafetyrisksIdentifyanyunderlyingcausesAnalyzetherootcausesoftheseproblems,suchasinadequatetraining,poormunicationskills,orsystemicissueswithinthehealthcarefacilityFeedbackonexistingissuesandshortcomingsEnhancemunicationskillsandprocessesRemendspecifictrainingorresourcestoimprovemunicationskillsandensurethatallrelevantinformationisaccuratelyandconsistentlyconsideredduringhandoverImplementchecklistsandstandar