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Strategies for HandOff Communication

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Who is, or should be, involved in the communication. What information should be communicated ... Organize the data. Provide cues of important information to pass on ... – PowerPoint PPT presentation

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Title: Strategies for HandOff Communication


1
Strategies for Hand-Off Communication
  • Trish Hahn, R.N.
  • Nursing Coordinator MIS
  • Little Company of Mary Hospital
  • Evergreen Park, IL

2
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3
Little Company of Mary Hospital
  • Non-profit Catholic community hospital providing
    the latest surgical, inpatient, and outpatient
    facilities.
  • Opened January 19, 1930 as a four-story 150-bed
    hospital. Little Company of Mary Sisters,
    supported by 12 staff physicians, made up the
    entire staff.
  • In 1950 three of our staff physicians performed
    the first human organ transplant in the world- a
    successful kidney transplant that allowed the
    patient to enjoy quality of life for the next 4 ½
    years.

4
Today
  • 325 certified beds
  • Over 350 active staff physicians
  • Approximately 2,100 employees
  • 46,500 Emergency Room visits per year
  • Committed to providing Pain Free Health Care

5
MEDITECH MAGIC Site
  • MEDITECH customer since 1997
  • EDM installed February 2006
  • ORM installed February 2007

6
Objectives
  • Define Hand-Off Communication
  • Identify the five strategies for effective
    Hand-Off Communication
  • Utilization of MEDITECH to facilitate
  • Hand-Off Communitcation

7
Hand-Off Communication
  • The Joint Commission National Patient Safety Goal
    2, requirement E.
  • Implement a standardized approach to hand
    off communications, including an opportunity to
    ask and respond to questions.

8
What Does This Mean?
  • Health care organizations must define,
    communicate to staff, and implement a process in
    which information about patient care is
    communicated consistently.
  • Standardization provides a means to educate staff
    about the process and helps support consistent
    implementation throughout the organization.

9
Methods of Communication
10
Identify the Following
  • To which hand-off situation it applies
  • Who is, or should be, involved in the
    communication
  • What information should be communicated
  • Opportunity to ask and respond to questions
  • When to use certain communication techniques,
    such as read back or SBAR
  • What print or electronic information should be
    available

11
Barriers to Effective Hand Offs
  • Physical setting lack of privacy, interruptions,
  • background noise
  • Language Differences between people of varying
    racial and ethnic backgrounds or geographical
    areas
  • Communication medium limitations of
    communication via telephone, e-mail, paper, or
    computerized records versus face-to-face

12
Recommended Strategies
  • Use clear language
  • Incorporate effective communication techniques
  • Standardize shift-to-shift and unit-to-unit
    reporting
  • Smooth hand offs between settings
  • Use technology to your advantage

13
Clear Language
  • Avoid unclear or potentially confusing terms. (ex
    Hes doing fine, shes a little confused.)
  • Do not use abbreviations that could be
    misinterpreted.

14
Incorporate Effective Communication Techniques
  • Focus on the information being exchanged
  • Limit interruptions
  • Allow sufficient time
  • Use read-back techniques to make sure there is
    common understanding
  • Encourage questions
  • Keep report patient centered, avoid irrelevant
    details

15
Standardize Shift-to-Shift, Unit-to-Unit Reports
  • Implement a consistent format
  • Organize the data
  • Provide cues of important information to pass on
  • Keep the report concise and accurate

16
Smooth Hand Offs Between Settings
  • Communicate with the physician when a patient is
    admitted, and update him/her whenever the
    patients status changes significantly.
  • Upon discharge, provide the patient with
    information about discharge medications,
    discharge instructions, follow-up visits.
  • Follow-up calls to the patient by a health care
    professional can often prevent many
    post-discharge errors.

17
Use Technology to Your Advantage
  • HIS systems that transmit information across
    settings and care providers bring consistency and
    coordination to care practices.
  • Electronic medical records can facilitate
    transitions by providing consistent, accessible
    information about patients and their care.

18
How LCMH Could Achieve This Goal
  • Formation of a multidisciplinary Hand-Off
    Communication Team
  • Team evaluated user/department needs
  • Evaluated different report practices
  • Shift-to-Shift, Unit-to-Unit, Transfer off
    campus

19
LCM Strategies
  • Face-to-Face shift report using a nursing
    profile customized for particular units (ICU,
    Med-Surg
  • Peds.) Set up using the SBAR format.
  • Telephone reports when patient goes from ED,
    PACU, or Special Procedures.
  • Worked with the nursing homes and extended care
    facilities in our area to design a nursing
    profile that is faxed to the nursing home prior
    to transfer.

20
Strategies continued
  • Customized OE requisitions for central transport,
    and numerous ancillary departments
  • Designed specific PCI query groups and clinical
    highlights that enable clinicians to view
    pertinent information on one screen

21
SBAR
  • Situation
  • Background
  • Assessment
  • Recommendation

22
Situation
  • Information every care provider at any level
  • would need to know about the patient.
  • Examples Admitting Diagnosis, Room,
    Location, Code Status, Precautions, Allergies,
    Communication Barriers

23
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24
Background, Assessment, Recommendation
  • Shift change reports
  • Information provided when transferred to a
  • different level of care (ICU to General Floor,
    Transfer to Extended Care)

25
Nursing Profiles
  • Customize profiles
  • Specific to different caregivers
  • RN, Care Partner, Physical Therapist

26
Provider to Provider Hand Off
  • Group practices
  • Coverage for another provider

27
PCI QUERY GROUPS/CLINICAL HIGHLIGHTS
28
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30
Questions?
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