nurse-sitter handoff
Post on 24-Feb-2016
96 Views
Preview:
DESCRIPTION
TRANSCRIPT
Nurse-SitterHandoff
Claudette JohnsonManager of Nursing
Support Services
WHAT IS HANDOFF?
transfer of information (along with authority and responsibility) during transition in care for the
purpose of ensuring the continuity and safety of the patient care.
RESEARCH SUPPORTING HANDOFF
Institute of medicine reports Cost associated with medical errors is $8-29 billion annually
Joint Commission data on sentinel events from 1995-2005 reports Communication issues as the
leading cause of sentinel event
REASON FOR CHANGE
SITTERS
Lack of staff satisfaction
Lack of respect for
sittersNot part of
Team
No breaks or last choice on
breaks
48% of sitters responded
BENEFITS OF SITTER HANDOFF
Promote safetyImprove
communications
Improve staff relationship
Improve staff satisfaction
WHY DO SITTER HANDOFF?
RespectStaff Satisfactio
n
Improve communicatio
n
HANDOFFSTAKEHOLDE
RS
Wrong treatmentDelay in DiagnosisAdverse eventsPatient dissatisfactionIncrease hospital costIncrease length of stay
I N E F F E C T I V E HANDOFFS
Leadership
Patient
Staff
BARRIERS TO HANDOFF COMMUNICATION
COMMON HANDOFF ISSUESCAUSES OF
FA ILURE
Ineffective Methods
Time constraints
Change
Lack of focused research on healthcare and handoff
Lack of Efficiency
Lack of commitment
CAUSES OF SUCCESS
Open to change
Understand purpose of Change.
Preparedness and education
Commitment to making a difference
Management Support
Up-to-date information on the following:
Diagnosis, Care, Condition and ChangesLimited interruptionsSufficient time allocatedProcess for verification- repeat
back read back
IMPLEMENTATION
NURSE-SITTER TOOLto improve safety as well as
patient and staff satisfaction. Purpose
Patient: Room # _____ Date ____Shift______Hand off information for any sitter will include:What is wrong with patient? ____________________________Why do they need a sitter? _____________________________Diet/ fluid restrictions: _________________________________Activity- independent or with assist ______________________Specifics about their care ______________________________Time for their meal breaks, what time they are expected back - SPECIFIC TIME _______________________________________Who will relieve them for their break? ____________________Phone number: Charge: Break Relief: ____________
OA/PCT Signature:________________ Date:____________
SITTER HANDOFF GUIDELINESHand off information for any sitter staff will include:
1) What is wrong with patient? Why is a sitter needed? (Hip replacement but is sun downing tries to get out of bed after 7 pm)2) Diet/ fluid restrictions (NPO, 1 cup of water every shift)3) Activity- independent or not (can get up by himself, can get up safely with walker)4) Specifics about their care (examples: quick with hands must watch IV or Foley, bolts out of bed, confused, watch for visitors)5) Time for their meal breaks, what time expected back -MUST be a SPECIFIC TIME (not 1 hour from now but instead 0445)6) Who will relieve sitter for their break (Julie, PCT and her phone # is____) - OA for suicides have to watch the patient at all times and should not be standing by the door looking for help.
OA ROLE
O A S C A N
Ambulate steady gait patients
Set up trays
Unplug IMEDS only if directed by Nurse
Talk and calm patient down
O A S C A N N O T
Ambulate unsteady patients
Feed patients
Touch IMEDS without nurses' direction
Hold a patients arm down (staff should use mitts or medicate patient)Know that PCTs who are sitting can provide PCT care.
The nurse will need to update sitter for any changes.
Sitters will be passing information to each other
WHAT IS ASSERTIVENESSI T IS NOT…
Aggressive
Hostile
Confrontational
Ambiguous
Ridiculing
PILOT STUDY
Begins February 08 to March 08,
2011Forms available in the Float Pool
roomSend completed sheets to
Claudette JohnsonQuestions: call Claudette at
x.7959
Survey to assess the success of the PILOT STUDY
Survey
For:
all OAs random RN/ PCT
Deadline:
October 1, 2011
Return to:
Claudette Johnson
3W
ChangeFor
SafetyAnd more
importantly, change for
YOU
REFERENCES
Agency for Healthcare Research and Quality (2005). 30 safe practices for better health care: Fact sheet. Retrieved March 19, 2011, from
http://www.ahrq.gov/qual/30safe.htm
Institute of Medicine. Committee on Quality Health Care in America. (2000). Errors in health
care: A leading cause of death and injury. In L. Kohn, J. Corrigan, & M. Donalsdson (Eds.) To Err Is Human: Building a Safer Health
System. Washington, D.C: National Academy Press.
Joint Commission on Accreditation of Healthcare Organizations. (2008). 2009 national patient
safety goals [electronic version]. Joint Commission Perspectives, 28(7), 12. Retrieved March 19, 2011, from
http://www.jcrinc.com/common/PDFs/fpdfs/pubs/pdfs/JCReqs/JCP-07-08-S1.pdf
Northwest Community Hospital (NCH), (2011). Nurse- Sitter handoff tool.
Nothwest Community Hospital. (2011). Pre-assessment of sitter needs survey.
top related