- Inadequate communication during patient handoffs between ambulances and emergency departments can negatively impact patient care and outcomes. - The author proposes implementing a standardized IMIST-AMBO communication framework for handoffs in Texas to improve information transfer and patient safety. - Legislation is advocated for to mandate consistent use of the framework statewide and improve coordination between emergency services. Research evidence from other locations supports standardized handoffs reducing errors.

1. Advocacy Through Legislation Essay Example Paper
Advocacy Through Legislation Essay Example PaperProblemIn no more than 250 words,
describe the problem, who is affected, and the current ramifications. Explain the
consequences if the issue continues.The period of clinical handoff of medical records and a
change of roles from one medical organization to another is referred to as the handover
process (Vanderbilt et al., 2017). The transfer of clients from ambulance to emergency
department personnel is a critical period in the client's healthcare treatment. Critical details
may be lost or misinterpreted if handoff is not done in a systematic, coordinated manner.
This will result in appointments being missed or delayed, as well as a reduction in patient
satisfaction. A deficiency of good communication during handoff will trigger a chain
reaction of confusion and fear for anyone participating in the experience. The patient's
handoff should be accurate, non-biased, and include the client so that important details are
not omitted at this critical moment Advocacy Through Legislation Essay Example
Paper.ORDER A PLAGIARISM-FREE PAPER HEREInadequate communication at handoff has
the greatest impact on the patient whose treatment is being transferred. Insufficient
communication has an effect on emergency medical services (EMS) staff and also healthcare
practitioners (Vanderbilt et al., 2017). When multiple handovers take more time due to a
lack of proper communication, the ambulance will be out of operation for longer, affecting
more people in the population who may require the services. In a research study,
emergency department employees triggered 90 percent of handoffs delays by interjecting
with queries; 32 percent of those queries had already been addressed by EMS staff and
70percent of handoffs required EMS employees to clarify details several times Advocacy
Through Legislation Essay Example Paper.Idea for Addressing SolutionIn no more than 250
words, outline your idea for addressing the issue and explain why legislation is the best
course for advocacy.Patient handoffs from an ambulance to an ED should be systematic and
follow a common routine that is followed in all facilities. Handoff should be safe from
interruptions, especially a moment where the client's hands are off, and include eye contact
with the professionals (Vanderbilt et al., 2017). The use of an IMIST-AMBO study will be a
common procedure that should be followed in the state of Texas. Description of the patient,
nature of illness and pain, injuries incurred, signs and symptoms, care provided, allergies,
prescriptions, personal information, and other are all represented by the framework. This
enables the emergency staff to convey all essential details in a consistent manner, aligning
the needs of patient Advocacy Through Legislation Essay Example PaperLegislation will
ensure the handovers are consistent throughout the state and that EMS and emergency

2. department personnel communicate more effectively (Vanderbilt et al., 2017). EMS services
seldom transport patients to a particular facility. They have the capability of transporting
patients to any facility that can suit their conditions, like facility to facility 3 transports.
Proposing for structured communication amongst EMS and ER staff would result in more
efficient and high-quality treatment handovers. Advocating by legislation solves the many
obstacles that would arise by trying to optimize correspondence between two different
health-care agencies Advocacy Through Legislation Essay Example Paper.Research the
IssuePerform research and compile information for your idea. Present substantive
evidence-based findings that support your idea for addressing the problem (studies,
research, and reports). Include any similar legislation introduced or passed in other
states.Evidence 1The IMIST-AMBO structured communication model for patient handoff
amongst clinicians and emergency department (ED) personnel was implemented in London,
and it resulted in changes in how info was conveyed, the volume of information transmitted,
the period it took to convey the details the quantity and kinds of questions posed by ER
personnel, and the ER employee's view of clinicians. They embraced and implemented the
IMIST-AMBO model into their clinician’s instruction.Evidence 2According to an Australian
report, the absence of a formal hand-off method caused miscommunication, led to adverse
outcomes, and resulted in frustrated ER and nurse professionals. The investigators
discovered that by implementing a structured procedure known as AMIST , communication
will be enhanced and patients will begin their clinical experience with both professionals
knowing the real story Advocacy Through Legislation Essay Example Paper. Stakeholder
SupportDiscuss the stakeholders who would support the proposed idea and explain why
they would be in support.Stakeholder(s) Supporting 1When a patient arrives at the
emergency department by ambulance, they are always filled with anxiety and uncertainty,
particularly if they have had a negative encounter at a facility in the past. Good
communication among all health care professionals improves teamwork and encourages
patients to get the best possible care. Patient treatment may be improved by standardizing
pre-hospital communication handoffs, which improves care delivery and clinical
outcomes.Stakeholder(s) Supporting 2A structured solution to patient handoff will be
supported by clinics and other institutions that receive patients via ambulance.
Misinformation after treatment handoff has been found to be a leading element to harmful
outcomes that may cost hospitals huge amounts of money. Succinct and accurate
communication would reduce the danger to the patient, and reduce the chance of an
adverse situation, enhance patient protection, and enhance quality of care, both of which
would have an impact on certification and payment rates Advocacy Through Legislation
Essay Example Paper. Stakeholder OppositionDiscuss the stakeholders who would oppose
the proposed idea. Explain why they would be in opposition and how you would prepare to
debate or converse about these considerations.Stakeholder(s) Opposed 1The IMIST-AMBO
can be seen by EMS staff as a hassle and just another item to learn and fill out, rather than a
method of formal communication. The expected changes in run-times attributed to
emerging methods, as well as a lack of resources for state-mandated device adoption, have
become challenges in the implementation of a structured communication method (Waddell
et al., 2016). EMS staff would need to be better trained about how structured

3. communication handoffs enhance performance and patient satisfaction. To relay the
requisite details and increase patient standard of treatment and outcomes, EMS handoffs
should be fast and succinct Advocacy Through Legislation Essay Example
Paper.Stakeholder(s) Opposed 2Nurse practitioners are highly resistant to transition. after
the handoff problem from EMS, emergency department personnel frequently begins
providing medical treatment the time a patient walks through the entrance. It would be a
concern for medical personnel and management to create an atmosphere where clinicians
avoid being job-oriented and giving their total focus to the EMS team as they provide details
(Waddell et al., 2016). Nurses would be asked to wait for EMS to finish their study before
asking questions, enabling for the completion of the whole IMIST-AMBO system and
reducing repetition. To begin, nurses must be informed that nursing is all about delivering
the best possible treatment and the best possible results. Giving EMS a few minutes of
continuous reporting period improves health outcomes and efficiency Advocacy Through
Legislation Essay Example Paper.Financial Incentives/CostsIn no more than 250 words,
summarize the financial impact for the issue and the idea (added costs, cost savings,
increased revenue, etc.). Provided support.The adoption of a structured communication
method like IMIST-AMBO should not be cost burdensome and all those concerned would
simply need to be trained. To inform the workers what the framework for stands for,
stickers or logo buddies may be designed. The education might be incorporated into the
new recruit induction phase if the formal communication tool was implemented on a state-
wide basis. A reduction in negative events will support facilities financially. In addition,
hospital coverage is based on the level of services provided and the satisfaction of patients.
Defined communication helps in all of these areas. Patients who believe they have received
the best level of service prefer to visit the same hospital, resulting in increased revenue
Advocacy Through Legislation Essay Example Paper. Legislature: Information Needed and
Process for ProposalDiscuss the how to advocate for your proposal using legislation.
Include the following:Provide the name and complete contact information for the
legislator.Rep. Hellen SmithPO Box 44020Austin TX, 786946Phone number: 512-381-
0031Describe the steps for how you would present this to your legislator. I will begin by
ensuring that I have described the issue and that I have evidence-based studies to back up
my approach. I would contact Rep. Smith to explain my situation, as well as inform her that
I'd be sending a draft plan to her desk. I will strive tirelessly to win consensus to pass the
bill in the House of Representatives and Senate.Outline the process if your legislator
chooses to introduce your idea as a bill to congress.If Rep. Smith decides to submit my
proposal to Congress as a bill, it will be introduced while the House is in session. Rep. Smith
will take on the role of supporter and would be responsible for securing the requisite votes
to approve the bill. The bill will be designated as a House Bill, accompanied by a quantity,
and a debate schedule would be set. The bill will then be approved or revised during the
vote. The bill would then be submitted to the President if it is authorized Advocacy Through
Legislation Essay Example Paper.ORDER A PLAGIARISM-FREE PAPER HEREChristian
Principles and Nursing AdvocacyIn no more than 250 words, discuss how principles of a
Christian worldview lend support to legislative advocacy in health care without bias. Be
specific as to how these principles help advocate for inclusiveness and positive health

4. outcomes for all populations, including those more vulnerable, without regard to gender,
sexual orientation, culture, race, religion/belief, etc. In advocating for a reform in the patient
handovers process, servant leadership concepts can be included (Patterson, 2017. Jesus is a
great illustration of a servant leader who served others without expecting much in
exchange, but trusting in God for his performance. During Jesus' ministry, he was able to
look after the well-being of others, and in the end, he cured a number of individuals,
including a lady who had been bleeding for twelve years. In this situation, the advocacy
would focus on bringing about change that would boost medical outcomes and health-care
quality without expecting much in return Advocacy Through Legislation Essay Example
Paper.ReferencesPatterson, D. L. (2017). Eight advocacy roles for parish nurses. Journal of
Christian Nursing, 24(1), 33-35. https://doi.org/10.1097/00005217-200701000-
00011Vanderbilt, A. A., Pappada, S. M., Stein, H., Harper, D., & Papadimos, T. J. (2017).
Increasing patient safety with neonates via handoff communication during delivery: A call
for interprofessional health care team training across GME and CME. Advances in Medical
Education and Practice, 8, 365-367. https://doi.org/10.2147/amep.s129674Waddell, A.,
Audette, K., DeLong, A., & Brostoff, M. (2016). A hospital-based interdisciplinary model for
increasing nurses’ engagement in legislative advocacy. Policy, Politics, & Nursing Practice,
17(1), 15-23. https://doi.org/10.1177/1527154416630638 Advocacy Through Legislation
Essay Example PaperNurses often become motivated to change aspects within the larger
health care system based on their real-world experience. As such, many nurses take on an
advocacy role to influence a change in regulations, policies, and laws that govern the larger
health care system. For this assignment, identify a problem or concern in your state,
community, or organization that has the capacity for advocacy through legislation. Research
the issue and use the "Advocacy Through Legislation" template to complete this assignment.
You are required to cite to a minimum of three sources to complete this assignment.
Sources must be published within the last 5 years and appropriate for the assignment
criteria and relevant to nursing practice. While APA style is not required for the body of this
assignment, solid academic writing is expected, and documentation of sources should be
presented using APA formatting guidelines, which can be found in the APA Style Guide,
located in the Student Success Center. This assignment uses a rubric. Please review the
rubric prior to beginning the assignment to become familiar with the expectations for
successful completion.