Investor Presentaiton
Pea Code
109C40
NFORMATION
WACHS GS TMR 550
TELEPHONE COMMUNICATION RECORD
aw
WA Health Handover Resource Portal
http://intranet.health.wa.gov.au/osgh/handover/
SURICAME
HOSPITAL
CLINICAL HANDOVER TOOL
GIVEN NAMES
ADMISSION NOTIFICATION
WARD
ADDRESS
Patient Name:
Escalation to Medical Review
Nurse refering
Physiotherapy Department RPH
• Referral request received from:
DRAFT AFTER HOURS TREATMENT REQUEST FORM
Patient Identity(Attach patient sticker):
LIME chart developed in WACHS- Great Southern Region
Government of Western Australia
Department of Health
WACHE-Groat Souther
Telephone Communication
Record Clinician Racelving
Hospital
Owen Nah
ARTES
Patient Location:
Time of Call
Private
Referred to:
Workers Comp
.
Respiratory R
Date/Time contacted.
URN:
Reason review requested:
Clinical deterioration
Patient meeting criteria for escalation
Post procedure
.
Medical Team:
10
S
Womed about Patient
Situation (Diagnosis and Problem for treatment):
Other (specify):
BP
RR
PR
Temp:
O Cast hour))
GCS
BSL
0
Sp02:
within normal limits
.
Observations:
Location
Pain score:
B
Nursing actions taken until escala
Assessment
A
Agreed actions until review:
R
Signature
10
Latest blood results Hh
Relevant History:
iSOBAR
00
gong quay goog
Date of Call
Patient Type: Public
Admitting Doctor
Information received from (Name & Designation
Admitting Diagnosis
ETA to Ward:
Admission Pre-Admission Observation
Assessment Findings
Relevant History:
Osbome Park Hospital
Medical Emergency Team
ISOBAR
Dale
Time MT called
(MET) Report
aerity Person Activating MET
Name
Designgton
Situation Reason for MET call
Background
Medical history of note
Treatment Plan
Admission via ED
Bed Number
Name
Direct Admission Obs
#observations meet M
Admitting Dr. No
Observations at time of call
Respirations
Dogen Saturation
Blood Pressure
Temperature
Consciousness AVPU
Vertus
LOCS Moin
76
GOS Tot
15
CCS Verbal
Action
GCS Motor
Consultant informed
fr
tRESTORAT
CPR started
FE
Dutcome and Medical Plan
CPR Provide
First Defibrillation shock
No shock advised
加
bovenous access a
1
intubacion st
intuated by
35
Cer
CONSCIOUSNESS
Vice Personal to Pab
deve
CLAS COW
COM
EYES
VERBAL
-nano
2-10p
3-
-sportoully
14
4tonsen
1-mone
2-en 3-aboon wit
-- oman
SCOREOC MOTOR
MET Attending Medical Officer
MET Nuse Documenting
Apr 2012
Delivering
a
MR(OPH) 000-MEDICAL EMERGENCY TEAM
A simple, step by step handover process that provides a
sequential approach to giving and receiving
information
Armadale Health Service is
introducing iSOBAR into all
clinical areas during;
NOVEMBER 2011
Clinical Champions in your area:
Project details- Performance Evaluation Unit
ext 2543 or 2526
Delivering a Healthy WA
Good communication is at the heart of
an effective clinical handover.
Standardising the handover process is
a simple and effective way to
ensure good continuity of patient care.
Inadequate handover can lead to
adverse events such as;
Delays in treatment
Patient complaints
Litigation
Sentinel events
BENTLEY HEALTH SERVICE
NURSING TRANSFER LETTER
NTIFY. DATE:
SERRAINGWARD
asion Date:
ission Diagnosies
nstening Nurse Namo
Consulent
EXT OF RINCONTACT PERSON
lamt:
Contact Phone Numbers
Moled of Tafer: Yes No
SITUATION: REASON FORTRANSFER:
OBSERVATIONS: Most recent vitales
Reag. S302
l@
Handover is
i
Identify
Frequency of BGL monitoring
defined as:
Introduce yourself and your patient.
"... the transfer of
professional
responsibility and
accountability for
A
TIME
ard
ETA
Problem
Date:
Phone Number
Repens
Transport Mode
ABO
Wazz
Otsevation Chart
Wegrt
Pano
si Medical History
Favan
my
Test Results
Medications
Exmo
investigde
Management
Medication Croers
DURSORIAS
C2 Flo R
Grange Parameters
Report Back to Cancun YES
NO
Tec
BACKGROUND: MEDICAL
R
Paname
situation/status
Diagnoses and current clinical status.
PSYCHOSOCIAL CULTURA
Signature
Designation.
observation
Most recent vital signs and clinical
assessment
some or all aspects of
care for a patient, or
group of patients, to
B
background
anther person or
professional group
Pertinent information relevant to the
patient-history, meds, results, allergies,
risks-falls/ mobility/DVT/skin integrity.
Micro alert/ aggression / special needs.
on a temporary or
professional basis"
A
agree to a plan/
actions
(Australian Medical
What is the plan?
What needs to happen?
Association, 2007)
read back /
R
ready for
Clarify and check for shared
understanding. Who is responsible for
what and by when?
discharge
Government of Westem Australia
Department of Health
ISOBAR
ALLERGIES:
MICRO ALERTS
CURRENT MEDICATION: Note: See copy of medication chan and or Doctors discion
Matisations son with patie
CURRENT NURSING CARE:
Yes No
Noto, and copy with pation adresingapore
Import
Note: Send copy with patient & patomy Suppies
Location:
yes Ne
Vites No Yes No
PICC pressing
Coutput
Fluide in progres
Date Insened:
Drainiest Yo: No
CachetariosON. BYEN NO Don
MR 194.01
BIT FOR BLACK, PS Kayal Blue
Cons
The Citat
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