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Studies show that so-called bedside shift reports, with both nurses meeting in the presence of the patient during the handover, help nurses communicate better, not only with each other but with patients and their families.
When nurses aren’t in the room for the handover, patients not only fall more often but also may have problems with intravenous lines or urinary catheters. And there is no opportunity for patients and family members to ask questions, state concerns or convey their own goals.
Depending on the hospital unit, nurses may have to hand off three to six patients per shift within a half-hour, spending 3 to 7 minutes with each. Keri Nasenbeny, assistant administrator of patient care services, says some reports are relatively quick, which leaves time for more complicated cases.
The nurse caring for a postpartum patient who is two days post-delivery is concerned the patient may have postpartum psychosis. Which statement by the patient supports this concern?
During orientation the clinical nurse leader tells a novice nurse, "You will be involved in purposeful creation of corrective learning experiences for all patients so as to provide a healing atmosphere." The clinical nurse leader is explaining aspects of:
The patient is violating the rights of others by being allowed to give unsolicited discourses and exert pressure on others. Balance is lacking when patients are not protected from the symptom expression of other patients.
A newly admitted patient is withdrawn and does not seek out interaction with staff or patients. Nursing interventions should focus on which element of the treatment environment?
Start studying Chapter 20: Introduction to Milieu Management Practice Question. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
The unit described in the correct answer provides a broad therapeutic focus for providing corrective experiences that helps patients recover. The distracters are too narrow in their therapeutic scope.
It is a big change from the traditional shift change in many hospital units, where nurses going off duty typically confer in a hallway or at the nursing station with the nurse coming on for the next shift, giving a rundown of their patients’ status and needs.
Studies show the approach helps reduce the number of patient falls and catch safety issues such as an incompatible blood transfusion and dangerous air bubbles that form in arteries.
In contrast bedside reporting helps improve patients’ ratings of their hospital experience at a time when Medicare is linking some payments to quality measures including how well hospitals score on patient satisfaction surveys.
Hospitals are transforming the traditional way nurses change shifts to reduce the chance of errors and oversights in the transfer of information. A critical side effect: patients feel safe, included and satisfied.
In some cases nurses may simply write up a report in the medical record for the next shift to read. But that critical information may be missed during shift changes. When nurses aren’t in the room for the handover, patients not only fall more often but also may have problems with intravenous lines or urinary catheters.
A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the nurse's action?
A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment and Recommendation).
The nurse in the recovery room has identified that a postpartum mother is actively hemorrhaging due to uterine atony. Prioritize the nursing actions in correct order. The nurse is caring for patient newly diagnosed with endometritis.
The patient is not breastfeeding. The patient's labor was augmented with oxytocin. This is the patient's sixth baby. The nurse is caring for a patient who has an order for misoprostol (Cytotec) for postpartum hemorrhage.