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Doctors
Nurses
Paramedics
EMTs
Allied Health This information has been brought to you by
First Response to Ambulance
Ambulance to Paramedic
Paramedic to ED
ED to Interventional Staff
Interventional Staff to Crit...
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http://www.flickr.com/photos/meganpatapoff/6545674775/lightbox/
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Delay in treatment
Inappropriate treatment
Adverse events
Omission of care
Increased hospital length of stay
Avoidable rea...
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Culture: Lack of teamwork and respect
Expectations between sender and receiver differ
Ineffective communication method, e....
Sender provides inaccurate or incomplete information, e.g.
medication list, DNR, concerns/ issues, contact information
Sen...
Receiver has competing priorities and is unable to focus on
transferred patient
Receiver unaware of patient transfer
Inabi...
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Glasgow Coma Scale GCS
Face Arm Speech Time ER FASTER
Boston Operation Stroke Scale BOSS
Cincinnati Prehospital Stroke Sca...
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Situation
Background
Assessment
Recommendations This information has been brought to you by
ABC’s
Moment of Silence
Echo Answer
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Questions
Quantify
Qlarify This information has been brought to you by
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Reduce errors!
Facilitate the continuum of care!
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Standardize
Hardwire
Allow Questions
Reinforce
Educate & Coach
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This information has been brought to you by
www.other-mother.in
https://www.facebook.com/pages/Other-Mother-Nursing-
Crusade/224235031114989
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Other mother

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  • Begin every class no mater where thinking…For years at the beginning of every course that I taught I explained to my students that no matter where they were Practicing EMS I was teaching them like any one of them could be responding to care for the people that I cared about.
  • 2006 WSJ health columnist Laura Landro referred to patient handoffs as “The Bermuda Triangle of health care.”
  • Please indicate the correct response in this section – if there is a correct response.
  • This will help address specific issues that you identify.
  • Vertical up to intervention, critical care, etc.Horizontal across trauma, cardiac, medical, etc.
  • Standardize Critical Content Hardwire Within Your System Allow QuestionsReinforce Quality Educate and Coach
  • Other mother

    1. 1. This information has been brought to you by
    2. 2. This information has been brought to you by
    3. 3. This information has been brought to you by
    4. 4. This information has been brought to you by
    5. 5. Doctors Nurses Paramedics EMTs Allied Health This information has been brought to you by
    6. 6. First Response to Ambulance Ambulance to Paramedic Paramedic to ED ED to Interventional Staff Interventional Staff to Critical Care Staff And so on… This information has been brought to you by
    7. 7. This information has been brought to you by
    8. 8. This information has been brought to you by
    9. 9. This information has been brought to you by
    10. 10. http://www.flickr.com/photos/meganpatapoff/6545674775/lightbox/ This information has been brought to you by
    11. 11. This information has been brought to you by
    12. 12. This information has been brought to you by
    13. 13. This information has been brought to you by
    14. 14. This information has been brought to you by
    15. 15. Delay in treatment Inappropriate treatment Adverse events Omission of care Increased hospital length of stay Avoidable readmissions Increased costs Inefficiency from rework Other minor or major patient harm. This information has been brought to you by
    16. 16. This information has been brought to you by
    17. 17. This information has been brought to you by
    18. 18. Culture: Lack of teamwork and respect Expectations between sender and receiver differ Ineffective communication method, e.g. verbal, recorded, bedside, written Timing of physical transfer of the patient and the hand-off are not in sync Inadequate amount of time provided for successful hand-off Interruptions occur during hand-off Lack of standardized procedures in conducting successful hand-off Inadequate staffing to accommodate successful hand-off Patient not included during hand-off This information has been brought to you by
    19. 19. Sender provides inaccurate or incomplete information, e.g. medication list, DNR, concerns/ issues, contact information Sender, who has little knowledge of patient, is handing off patient to receiver Sender unable to provide up-to-date information, e.g. lab tests, radiology reports, because not available at the time of hand-off Inability of sender to follow up with receiver if additional information needs to be shared Sender asked to repeat information that has already been sharedThis information has been brought to you by
    20. 20. Receiver has competing priorities and is unable to focus on transferred patient Receiver unaware of patient transfer Inability for receiver to follow up with sender if additional information is needed Lack of responsiveness by receiver Receiver has little knowledge of patient being transferredThis information has been brought to you by
    21. 21. This information has been brought to you by
    22. 22. This information has been brought to you by
    23. 23. This information has been brought to you by
    24. 24. Glasgow Coma Scale GCS Face Arm Speech Time ER FASTER Boston Operation Stroke Scale BOSS Cincinnati Prehospital Stroke Scale CPSS Melbourne Ambulance Stroke Screen MASS Age, Blood Pressure, Clinical Features, Duration Score ABCD Brooklyn Stroke Scale BSS Los Angeles Prehospital Stroke Screen LAPSS Miami Emergency Neurological Deficit Checklist MEND National Institute of Health Stroke Scale NIHSS This information has been brought to you by
    25. 25. This information has been brought to you by
    26. 26. Situation Background Assessment Recommendations This information has been brought to you by
    27. 27. ABC’s Moment of Silence Echo Answer This information has been brought to you by
    28. 28. Questions Quantify Qlarify This information has been brought to you by
    29. 29. This information has been brought to you by
    30. 30. This information has been brought to you by
    31. 31. Reduce errors! Facilitate the continuum of care! This information has been brought to you by
    32. 32. Standardize Hardwire Allow Questions Reinforce Educate & Coach This information has been brought to you by
    33. 33. This information has been brought to you by
    34. 34. www.other-mother.in https://www.facebook.com/pages/Other-Mother-Nursing- Crusade/224235031114989 This information has been brought to you by

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