A nurse is giving a change of shift report to the nurse on the next shift.
Which of the following statements by the nurse is appropriate for handoff communication?
“The client in room 12 is very demanding and complains a lot.”.
“The client in room 14 has a wound dressing that needs to be changed at 10 a.m.”.
“The client in room 16 is allergic to penicillin and sulfa drugs.”.
“The client in room 18 is a 65-year-old male who had a myocardial infarction yesterday.”.
The Correct Answer is B
“The client in room 14 has a wound dressing that needs to be changed at 10 a.m.”
This statement is appropriate for handoff communication because it provides relevant and specific information about the patient’s care plan and any pending tasks that need to be completed by the next nurse.
It also allows for the opportunity for discussion and clarification between the nurses.
Choice A is wrong because it is subjective and disrespectful to the patient.
It does not convey any useful information about the patient’s condition, needs, or preferences.
It may also create a negative bias or impression on the next nurse, which could affect the quality of care.
Choice C is wrong because it is not timely or relevant for handoff communication.
The patient’s allergies should be documented in the electronic health record (EHR) and verified with the patient before administering any medications.
It is not necessary to repeat this information during every handoff, unless there is a change or concern.
Choice D is wrong because it is too vague and incomplete for handoff communication.
It does not provide any details about the patient’s current status, vital signs, medications, interventions, or goals.
It also does not indicate any anticipated changes or potential complications that the next nurse should be aware of.
Handoff communication is a critical element of patient safety and continuity of care.
It involves the transfer of essential patient data from one caregiver to another during transitions of care across the continuum. It should be interactive, accurate, concise, and standardized. Some examples of handoff communication tools are SBAR (Situation, Background, Assessment, Recommendations), I PASS the BATON (Introduction, Patient, Assessment, Situation, Safety concerns, Background, Actions, Timing, Ownership, Next), ISHAPED (Introduction, Story, History, Assessment, Plan, Error prevention, Dialogue), and kardex.
These tools help to structure and organize the information exchange between providers and ensure that nothing is missed or misunderstood.
References:.
: 12 patient handoff communication tools to know - Becker’s ASC.
: Handoff communication - standardizing nursing protocols.
: Communication Strategies for Patient Handoffs | ACOG.
: 8 Tips for High-quality Hand-offs - The Joint Commission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It allows access to client information from multiple locations.
This is an advantage of using a computerized system for documentation and reporting because it enables health care providers to access relevant and updated information about their clients from different locations, such as hospitals, clinics, or home care settings.This can improve the quality and continuity of care, as well as facilitate communication and collaboration among different members of the health care team.
Choice A is wrong because it is not true that a computerized system eliminates errors and inaccuracies in documentation.While a computerized system can reduce some types of errors, such as illegible handwriting or misplaced files, it can also introduce new types of errors, such as data entry mistakes, software glitches, or system failures.
Choice C is wrong because it is not true that a computerized system reduces the need for verbal or written communication among health care providers.On the contrary, a computerized system can enhance communication by allowing health care providers to share information more easily and quickly, but it does not replace the need for verbal or written communication to clarify, confirm, or discuss the information.
Choice D is wrong because it is not true that a computerized system protects client information from unauthorized disclosure or alteration.
While a computerized system can provide some security features, such as passwords, encryption, or audit trails, it can also pose some risks, such as hacking, phishing, or malware attacks.Therefore, health care providers need to follow ethical and legal guidelines to ensure the confidentiality and integrity of client information in a computerized system.
Correct Answer is D
Explanation
To provide continuity of care.
A care plan conference is a meeting between the nursing home staff, the resident, and the resident’s family to set measurable, specific goals for the resident to meet during their stay, decide what needs to be done to meet those goals, and decide who in the nursing home is responsible for performing each job necessary to help the resident.The main purpose of this meeting is to provide continuity of care, which means ensuring that the resident receives consistent and coordinated care across different settings and providers.
Choice A is wrong becauseto discuss possible solutions to certain client problemsis not the main purpose of a care plan conference, although it may be one of the topics discussed.
A care plan conference is not meant to address only specific problems, but rather the overall plan of care for the resident.
Choice B is wrong becauseto evaluate the effectiveness of the care givenis not the main purpose of a care plan conference, although it may be one of the outcomes of the meeting.
A care plan conference is not meant to assess only the performance of the staff, but rather the progress of the resident.
Choice C is wrong becauseto gather information for the plan of careis not the main purpose of a care plan conference, although it may be one of the steps involved.
A care plan conference is not meant to collect only information, but rather to use it to develop and update the plan of care.
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