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Next Reply: Re:hand off tool
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Post hand off tool
Author: maryg
Date: Jun 18, 2012 8:27 pm
Does any one have a hand off tool that they use to provide information to the call staff on the patientss in the sevice for the wekend?
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Re:hand off tool (by SharolHerr on 06/19/2012)
We don't have a specific tool to use for hand off but have some strategies that have proven helpful to make sure information get's passed on. Our staff prints a list of the patients on service and leaves pertinent information r/t the patients on that list. They also may give a verbal or e-mail report. The clinical record is also an excellent means of passing on information in progress notes and dictations. In our system these are all electronic and easily accessed by the on-coming team memebers. The use of protocols and or order sets also is a means of standardizing care that increases the likelihood of quality care being delivered across care providers. I would suggest having a conversation with your on-call team to see what method works well for them and then implement accordingly.
Sharol Herr, RN, BSN, MSEd, CHPN; Palliative Nurse Clinician; Mount Carmel Health Palliative CAre Leadership Center; Columbus, Ohio.
+ Re:hand off tool (by UTMCKPallCare on 07/03/2012)
Although we chart electronically in our service, we have developed a paper form for each clinician to fill out and leave for the rest of the team when that member is to be off for one or more days in a row (including the weekend). Since none of the APN's on the service are full time, "flipping" patients is a common occurence, and short-hand methods to communicate are useful. The form includes the patient's name, room number, code status, the ability to circle either Sat or Sun (indicating which day/days the patient needs to be seen on the weekend), and brief sections to indicate diagnosis/main problems, medication changes, and focus of care/"to do". In this section on focus of care, the clinician can circle the abbreviation for each emphasis (e.g., "pain", "Sx" = symptom, "CP" = care planning, "CC" = comfort care, "PSC" = psychosocial care, code = need to address resusciatation status)

All of this may seem cumbersome or confusing in this format as reply to your post, but I am willing to try to scan and send to you, if that would be helpful. I am somewhat technilogically challenged, but am willing to give it a try!

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