the slide share is all about the foundations of nursing course outline that is aimed at helping the student to hand over what has been done on duty and what needs to be done. it includes the types of report written on ward.
2. Ward report
• This is a shift-to-shift or inter-shift communication between nurses and other
healthcare providers
• Advantages
• Improves coordination among health workers
• Improves efficiency and client outcome
• Interdisciplinary communication is improved (Nurse-to- other healthcare
providers)
• Reduces medication errors and adverse drug events
3. Intra-shift report
• These are usually verbal reports relayed to;
• Team members
• Team leaders
• Charge nurses
• It keeps them informed of changes in clients conditions
4. Intra-shift report
• Examples of changes that need to be communicated include;
• Significant changes in vital observations
• Unusual responses to treatments and medications
• Changes in the clients physical or emotional condition
5. Inter-shift
• This disseminates clients information between shifts
• It may be accomplished in;
• Verbal report and written or tape recorded
6. Inter-shift cont’d
• The inter-shift report should include the following
• Client’s name
• Room/bed number
• Diagnosis and date of surgery if appropriate
• Unusual occurrences that happened during the shift
• Laboratory results and tests to be completed in the next shift
• Any physical and psychosocial problems
7. Verbal/written report
• These are given to nurse managers, nursing supervisors or clinical coordinator during
each shift.
• The report includes information on;
• Critically ill clients
• Those with un usual occurrences or complications
• Clients with conditions that are difficult to manage
• Alert supervisors about problems with families, physicians or any other health
disciplines to get assistance on solution
8. Doctor notification
• Doctors should be notified whenever;
• There are changes in clients’ condition
• Whenever a new client is received on the ward
• Abnormal laboratory findings and test results are obtained
9. Doctor notification
• Before calling the doctor;
• Have all data available to allow you answer all questions e.g.;
• Current vita signs
• Laboratory results
• Medicines given and when
• Have the entire patient’s chart with you
10. Doctor notification
• When calling the doctor; identify yourself by;
• Name
• Department and client's name
• State the exact reason why you are calling
• Give pertinent information