OHOSPITAL

SHI
FTHAND
OVERING
PROTOCOL
PREPAREDBYRETAGUTA
2012

I
NTRODUCTI
ON

pati
entshi
fthandoverist
echni
quethathandl
ethepat
ientpr
oper
lyandasgui
del
inewhi
chi
sa
goodpract
icetoprotec
tpati
entsaf
ety.

Thepri
vacyofthepati
ents houldbesaved.cl
inicalhandaver ri
ngt r
ansf
erofprofess
ional
res
ponsibi
li
tyandaccountabili
tyf
orsomeoral las pec t
sofcareforapat
ientorgroupofpati
ent
s
toanot
herperson/f
amily/legalguar
dianorpr ofessionalgroupontemporari
lyorpermanent
basi
s.i
sbaracronymthats tandsf
oridenti
fi
cations i
t uati
onbackgroupasses
sment
r
ecommendati
onisanevidencebasedcommunicat
ionmodelthatthespeakerbyprovi
dinga
f
rameworktoorgani
zeandc onveyi
nformat
ion.
Tomakeallhealthprof
essional
shaveenough
i
nfor
mat
ionabouteachpatient.

Tos
trengt
hhandover
rant
echni
queoneac
hwar
d.

Togi
veemphas
isonprofes
sionalr
esponsi
bil
it
yandac
count
abi
li
ty.
nur
semeansar
egi
ster
edt
o
enr
oll
ednur
seregi
ster
edbyFMOH/ RHB

Shor
tbr
eakanytimeawar
efr
omt hepati
entf
or10-15minuteforexampl
etr
ans
fer
ringpat
ient
s
fr
omanotherar
eapi
cki
nguppat
ientfr
omanotherareabathr
oom

Longbreakanyt
imeawayfromthepat
ientt
hati
sgr
eat
ert
han15mi
nut
eforexampl
emeal
beakeducat
ions
essi
onpat
ientf
orm.

Obj
ect
ive

 Toprovi
dequal
ityheal
thcar
ebytransfer
ringpr
ofes
sionalr
espons
ibi
li
tyand
acc
ountabi
li
tyduri
ngshif
thandaverr
ing

Spec
ifi
cobj
ect
ive

 Tomakeal
lheal
thpr
ofes
sional
shaveenoughi
nfor
mat
ionabouteac
hpat
ient
.
  Tos
trengt
hhandover
rant
echni
queoneac
hwar
d

 Togi
veemphas
isonpr
ofes
sionr
espons
ibi
li
tyandac
count
abi
li
ty.

Def
ini
ti
on

 CLINICALHANDOVERI NG:Trans
ferofprofess
ionalr
esponsi
bil
it
yandaccountabi
lit
yfor
someoral las
pectscar
eofapati
entorgr oupofpati
entstoanot
herper
son/ f
amily/legal
guardianprof
ess
ionalgroupont
empor aryorpermanentbasi
s.

 I
SBAR:Ac r
onymthats
tandsfori
denti
fi
cationsi
tuationbackgr
oundas
sessment
recommendati
oni
sanevidencebas
edc ommunic ati
onmodelthatt
hespeakerby
provi
dingafr
ameworktoorgani
zeandc onveyi
nf or
mat i
on.

 NURSE:meansar
egi
ster
edt
oenr
oll
ednur
ser
egi
ster
edbyFMOH/
RHB.

 SHORTBREAK:anyti
meawarefromt
hepati
entfor10-
15mi nut
eforexample
tr
ansf
err
ingpat
ient
sfromanot
herar
eapic
kinguppatientf
romanotherar
eabat
hroom

 LONGBREAK:anyti
meawayfr
omt hepat
ientt
hati
sgreat
ert
han15mi
nut
efor
exampl
emealbeakeduc
ati
onses
sionpat
ientf
orm.
.
..
.

 Poororabs
entc
ommuni
cat
ioni
smaj
orc
ont
ribut
ingf
act
ori
nadvanc
eevent
s

 Poorc
lini
calhandover
ringc
anr
esul
tin

 Del
ayi
ndi
agnos
isort
reat
ment

 mi
ssedordupl
icat
edt
est
s

 Wr
ongt
reat
ment

 medi
cat
ioner
ror

Whatc
ons
tit
utesagoodhandover
?

I
nfor
mat
iont
rans
fer
reds
houl
dbe

 Rel
evant

 Ac
cur
ate

 Unambi
guous

 Oc
curi
nat
imel
ymanner
Tr
ans
fer
redi
nas
tandar
diz
edf
ormat(
ISBAR)

I I
dent
if
y I
dent
if
yyour
sel
fyourr
oleandyourpat
ient

S Si
tuat
ion St
atethepat
ientdi
agnos
isorr
eas
onf
oradmi
ssi
on&c
urr
ent
pr
oblem

B Bac
kgr
ound Pat
ienthi
stor
ycl
ini
calbac
hkgr
oundorc
ont
ext

A As
ses
sment Cur
rentpr
obl
emsobs
ervat
ionsandt
reat
ment
s

R Rec
ommendat
ion Posthandoverpl
anincl
udeREQUEST&RISKwhatdoyou
recommendorwantthepersonyoucal
ledt
odo?Beclearabout
request&t
imeframerepeattoc
onfi
rmwhyyouhaveheard

MANAGEMENT

Theteammanagerhavet
her
espons
ibi
li
tyt
osuper
vis
ehandoverandt
oens
uret
hef
oll
owi
ng
pri
ncipl
esar
eappl
ied:

 pat
ientc
are(
asr
equi
red)c
ont
inueswhi
lehandoveri
soc
cur
ring

 TheEMRDoc
ument
ati
ont
oolr
equi
redf
ort
hehandoveri
savai
labl
efors
taf
f

 Thevenues
tar
tingt
imeanddur
ati
onoft
hehandover
ingar
ecl
ear

 Thats
taf
fhaveagoodunder
standi
ngoft
hei
rrol
eint
hei
rhandover

 Di
srupt
ionar
emi
nimi
zed

 Al
lrel
evants
taf
fmus
tat
tendhandover

 I
SBARi
sadher
edt
oasc
ommuni
cat
iont
ool

 Feedbac
k(bot
hposit
iveandnegat
ive)i
sgiventost
affaboutt
heirpar
tic
ipat
ioninhand
overi
ngbythecas
et eammanagerthehandoverproces
sarecomplet
edasr equi
red

 Al
loc
ati
onofpat
ientt
osui
tabl
ecompet
entnur
se
Di
rec
tpat
ientc
arehandover(
inwar
dbas
einpat
ientar
eas
)

 Handovers
houl
doc
curbyeac
hpat
ientbeds
idei
fnotappr
opr
iat
eits
houl
doc
curout
side
pat
ientr
oom

 Occ
ursbet
weenthest
affmembert hathol
dr espons
ibi
li
tyforc
areandt
hes
taf
fmember
whowil
lbeas
sumingrespons
ibi
li
tyforthecareofthepati
ent

 Handovers
houl
dbec
ompl
etedi
ntheI
SBARf
ormatut
il
izat
iont
hehandoverf
unc
tioni
n
EMR

 Pat
ienti
dent
if
icat
ioni
stobei
ncor
por
ateaspert
hepat
ienti
dent
if
icat
ionpr
ocedur
e

 Cl
ini
calal
ertneedt
obei
ncl
udede.
gal
ler
giesi
nfec
tionc
ont
rolpr
ecaut
ions

 Thehandovermus
tbedoc
ument
edi
ntheEMR

Shor
tBeakHandoverOrPat
ient
/Nur
seReal
loc
ati
onDur
ingShi
ft

 Occur
sbetweent
henur
ser
espons
ibl
efort
hepat
ientandt
henur
sewhoi
sas
sumi
ng
res
ponsi
bil
it
y

 Compris
eofaverbalhandoveri
nISBARfor
mat(I
SR)i
dent
ifi
cat
ionofpat
ientc
urr
ent
si
tuat
ionandanyri
sksorrecommendati
onforbr
eaki
nter
val

 Doc
ument
ati
onofhandoverandt
rans
ferofpr
ofes
sionalc
areneedst
ober
ecor
dedi
nthe
EMR