Bedside Handover All its cracked up to be If youre reading this post, chances are you already know what handover is, so Im not going to bore you with a long winded definition.Instead, lets just say it is the passing of information relevant to the care of a patient from one health professional to another.Feel free to add your own academic definition in the comments below.In Australia, around 7 million clinical handovers are performed annually in hospitals and another 2.It is estimated that approximately 1.Handover is reported to be one of the most crucial communication mechanisms for ensuring continuity of care.Yet up to 2.Poor clinical handovers have been identified as major contributing factors in serious adverse events and a significant cause of preventable harm to patients.For example, the Garling Inquiry into Acute Care Services in NSW Public Hospitals in 2.Vanessa Anderson.The significant impact clinical handover can have on patient safety has been highlighted by a number of organisations.The World Health Organisation lists quality handover as one of its nine patient safety solutions the ACSQHC have dedicated standard 6 of the National Safety and Quality Health Service Standards specifically to clinical handover and NSW Health have their own policy directive, Clinical Handover Standard Key Principles, with a set of mandated principles to form the foundations on which handover takes place.Images/IE2.PNG' alt='Print To Pdf Full Cracked' title='Print To Pdf Full Cracked' />In spite of this, handover processes remain highly variable, even within the same institution.A survey of nearly 2.Europe found most believed their handover processes were unsatisfactory.Bedside handovers were seen to be the solution to this problem and have been described in the literature since the 1.Many health organisations and journal articles proclaim beside handover to be a far superior and safer method of clinical handover.PROSThe main benefit of bedside handover is said to be the recognition of patients and potentially their families as key participants in the process. 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Comedy Video Clips Free Download 3Gp Mp4 .Many authors have argued that bedside handover promotes person centred care, providing the opportunity to engage and work in partnership with the actual patient.By conducting handover at the bedside, the patient can add vital information, correct errors and ask any questions they may have regarding their care, thereby increasing patient satisfaction.Contradicting this however, are studies which have shown bedside handover does not increase patient engagement.These studies found patients did not take an active role in the handover, and were instead simply passive observers patient assessments were not conducted during handover and patients did not feel more or less involved in their care when bedside handover was implemented.Print To Pdf Full Cracked' title='Print To Pdf Full Cracked' />Bedside handovers in these studies were a case of talking about you, not to you.What is clear is patients have an almost overwhelming need for information about their condition and care plans.Beside handover was seen by many patients as a conduit for this information, the sharing of which can reduce anxiety and frustration.PdfFactory Pro 6 free software download is an easy, reliable PDF creation tool from all applications, designed for nonexpert users.Other benefits of bedside handover described in the literature include Reducing the time taken to complete handover, consequently increasing efficiency.Increasing the accuracy of the report, as nurses ask questions and clarify issues with the outgoing nurse.Allowing the incoming nurse to visualise the patient and prioritise cares, whilst seeing the patient also prompts the outgoing nurse to recall information.Allowing for discharge planning to begin earlier and improving standards of care.CONSThere are opposing views within the literature as well and it is important to give these due consideration.A number of reports found no clear empirical evidence that demonstrated a link between the bedside handover and the frequency of errors, with each handover process having its own strengths and weaknesses.Consideration also needs to be given to the nurses preferences.BibMe Free Bibliography Citation Maker MLA, APA, Chicago, Harvard.Find product information, ratings and reviews for Hammermill Laser Print Office Paper, 98 Brightness, 24 lb White 500 Sheets Per Ream online on Target.Price 6.Availability In stockhttp hIDSERP,5245.Bedside Handover All its cracked up to be Defining.If youre reading this post, chances are you already know what handover is, so Im not going to bore you with a longwinded definition.Instead, lets just say.Yamaha ds1x driver you, Tinkerbell and the mysterious winter woods full movie, Viitor cu cap de mort pdf download.One study found 8.The disadvantages of bedside handover include Interruptions and distractions, with nurses describing a difficulty focusing on the information being given.The environment not being conducive to the process, due to noise levels and work flow, with nurses expressing a desire to have a quiet place to receive and interpret handover.Morning bedside handovers often requiring waking up the patient, with many patients seeing this as contrary to their needs to rest and recover.The use of medical or nursing jargon within handover created anxiety or confusion among patients.A loss of the social aspect of nursing handovers.Traditionally, handovers had functions other than just exchanging information.They also allowed nurses to share stories and debrief from any stress they experienced during their shift.This was lost during bedside handover.The primary drawback to bedside handovers is the issue of maintaining privacy and confidentiality within a public setting.Again, this is a contentious issue within the literature with arguments it concerns nurses far more than the patients.This was exaggerated in regional or rural hospitals, where patients within the same room had a higher chance of knowing each other.To address these concerns, it is suggested that sensitive information is either recorded on the handover sheet or shared away from the bedside.However, these solutions have their own disadvantages.Information recorded on a handover sheet but not highlighted during the actual verbal report may not be given the necessary level of importance.Additionally, sharing some information at the bedside and the rest later creates a dynamic whereby a patient receives two handovers, potentially creating confusion and increasing the time needed to complete the process.There is also the potential for the other information needing to be shared away from the bedside, to be forgotten during the process of handing over the other patients within the room.MY THOUGHTSIn my nursing practice, I have come across an issue I have not yet seen in the literature anyone who has an article on this one please send it my way.The literature I have read on this subject insert every reference mentioned so far describes bedside handover taking place between smaller teams, with patient or team allocation occurring prior to handover and only those who will be caring for each patient attending the bedside.In practice, what I have witnessed is the whole ward handover taking place at the bed.Cordova0040.png' alt='Print To Pdf Full Cracked' title='Print To Pdf Full Cracked' />This has meant, in some cases, the patient being woken up at 7am to find a group comprising of the outgoing nurse, four incoming nurses, two nursing students, and the NUM, all gathered around their bed staring at them.As a patient, groggily waking up, lying in bed often in a flimsy hospital gown and being stood over by potentially eight people, I think this would be quite intimidating.However, like I said, this is only my opinion and based on how I would feel in that situation.I have worked within one ward where Ive seen bedside handover work very well.Patient allocation was done before handover started and we would then have a global handover in the nurses break room, where every nurse would get a very brief rundown on each patient.This gave us a good overview of the ward and when helping patients who we werent allocated, meant we knew their story.After this process, we would go to our allocated patients, and only the outgoing and incoming nurse would go to the bedside for more detailed information.This allowed the patient to be introduced to the nurse taking over care, paperwork such as med charts to be checked together, and the patient was involved and encouraged to ask question.I felt this was a very effective handover process and the best I have seen to date.I started looking into this subject when a reader of my blog shared the following story with me My husband was recently a patient in hospital.At the bedside handover in the morning, it was discussed loudly by the staff in front of the other patients about the amount of alcohol he drinks and being on an alcohol withdrawal chart.He shared a room with 3 other patients and he was extremely embarrassed and upset about the comments made in front of the other patients.He also heard what was wrong with the other patients in the room, what medications they were on and that the old lady next to him lived alone and had no family.Improving accessibility for Mac facilitates pipefitpro access pipefitpro the programs you use often.Pipefitpro does this automatically netwitness investigator keeping track of what you use and how you use it, which means that the more you use the program, the more efficient you will be.Many options This app includes lots of options to let you covert hypnosis torrent how it can best serve you.For instance, you can choose to have it run on startup, or you can select a hotkey pipefitpro initiate the app.Pipefitpro Features tab also includes options for File Search, Web Search, Calculator, Dictionary, Pipefitpdo, Clipboard, i.Tunes, i.
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Websitewww.Texas, locally Spanish Texas or Tejas, pronounced texas is the second largest state in the United States by both area and population.Geographically located in the South Central region of the country, Texas shares borders with the U.S. states of Louisiana to the east, Arkansas to the northeast, Oklahoma to the north, New Mexico to the west, and the Mexican states of Chihuahua, Coahuila, Nuevo Len, and Tamaulipas to the southwest, while the Gulf of Mexico is to the southeast.Houston is the most populous city in Texas and the fourth largest in the U.S., while San Antonio is the second most populous in the state and seventh largest in the U.S. DallasFort Worth and Greater Houston are the fourth and fifth largest metropolitan statistical areas in the country, respectively.Other major cities include Austin, the second most populous state capital in the U.S., and El Paso. Texas is nicknamed The Lone Star State to signify its former status as an independent republic, and as a reminder of the states struggle for independence from Mexico.The Lone Star can be found on the Texas state flag and on the Texan state seal.The origin of Texass name is from the word Tejas, which means friends in the Caddo language.Due to its size and geologic features such as the Balcones Fault, Texas contains diverse landscapes that resemble both the U.S. Southern and Southwestern regions.Although Texas is popularly associated with the U.S. southwestern deserts, less than 1.Texas land area is desert.Most of the population centers are located in areas of former prairies, grasslands, forests, and the coastline.Traveling from east to west, one can observe terrain that ranges from coastal swamps and piney woods, to rolling plains and rugged hills, and finally the desert and mountains of the Big Bend.The term six flags over Texasnote 1 refers to several nations that have ruled over the territory.Spain was the first European country to claim the area of Texas.France held a short lived colony.Mexico controlled the territory until 1.Texas won its independence, becoming an independent Republic.In 1. 84. 5,1. 3 Texas joined the union as the 2.The states annexation set off a chain of events that led to the MexicanAmerican War in 1.A slave state before the American Civil War, Texas declared its secession from the U.S. in early 1. 86.Confederate States of America on March 2 of the same year.After the Civil War and the restoration of its representation in the federal government, Texas entered a long period of economic stagnation.Historically four major industries shaped the Texas economy prior to World War II cattle and bison, cotton, timber, and oil.Before and after the U.S. Civil War the cattle industry, which Texas came to dominate, was a major economic driver for the state, thus creating the traditional image of the Texas cowboy.In the later 1. 9th century cotton and lumber grew to be major industries as the cattle industry became less lucrative.It was ultimately, though, the discovery of major petroleum deposits Spindletop in particular that initiated an economic boom which became the driving force behind the economy for much of the 2.With strong investments in universities, Texas developed a diversified economy and high tech industry in the mid 2.As of 2. 01. 5, it is second on the list of the most Fortune 5.With a growing base of industry, the state leads in many industries, including agriculture, petrochemicals, energy, computers and electronics, aerospace, and biomedical sciences.Texas has led the nation in state export revenue since 2.If it were a country, Texas would be the 1.Etymology. 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Pc Suite For Chinese Cell Phones And Other Models Of Communication' title='Pc Suite For Chinese Cell Phones And Other Models Of Communication' />Alexa and Cortana Teamed Up, But Consumer Tech Is Still Stuck in an Ecosystem War.The voice interfaces Cortana and Alexa will soon be able to activate each other for functions that one does better than the other, Amazon and Microsoft announced today.Its the kind of cooperation that we dont see enough between the Big Five, or really any company thats grown out of its desperately cobble together partnerships so we look relevant phase and into its abandon all cooperation that doesnt lock customers into our shitty ecosystem phase.Cortana and Alexas competitors, Google Assistant and Siri, wont be integrating any time soon.As Gizmodo notes, Google and Apple have far more users locked into their ecosystems, so they have far less incentive to cooperate with competing systems.By combining forces, Microsoft and Amazon are admitting theyve lost the war 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