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Pediatric CLINICAL HOLDING POLICYDocument Author Written By: Pediatric Matron / Local Security Management SpecialistAuthorised Authorized By: Chief ExecutiveDate: March 2018Date: 4th April 2019Lead
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How to fill out clinical handover at nurse

01
Start by gathering all necessary information about the patient, including their medical history, current medications, allergies, and any other relevant details.
02
Begin by introducing yourself and the patient, mentioning their name, age, and medical condition.
03
Clearly state the reason for the handover and provide a brief summary of the patient's condition.
04
Give a detailed account of the patient's vital signs, including blood pressure, heart rate, respiratory rate, and temperature.
05
Discuss any recent changes in the patient's condition or any significant events that occurred during their treatment.
06
Provide information about the patient's ongoing care plan, including any upcoming procedures, tests, or medications.
07
Mention any specific instructions or precautions that need to be followed, such as dietary restrictions or mobility limitations.
08
Offer an opportunity for the receiving nurse to ask questions or seek clarification about the handover.
09
End the handover by summarizing the key points discussed and reiterating the importance of proper ongoing care for the patient.

Who needs clinical handover at nurse?

01
Clinical handover at nurse is needed by healthcare professionals involved in the care of a patient. This includes registered nurses, nurse practitioners, doctors, and other members of the healthcare team who will be taking over the patient's care.
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Clinical handover at nurse refers to the process of transferring responsibility and accountability for patient care from one nurse to another, ensuring continuity and safety in nursing practices.
All registered nurses involved in patient care during a shift change or transfer of patient responsibilities are required to file clinical handover.
To fill out clinical handover, nurses should document key patient information, including patient's condition, treatments administered, any concerns, and specific instructions for ongoing care, ideally using a standardized template.
The purpose of clinical handover at nurse is to ensure that critical information is communicated effectively to maintain patient safety, continuity of care, and to support clinical decision-making.
Essential information that must be reported includes patient identifiers, diagnosis, treatment plans, medications, recent changes in condition, and any specific needs or concerns.
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