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Handover in ED



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  #1  
Old Jun 04, 2008, 01:31 PM
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Join Date: Jun 2002
Handover in ED

I work in one of the busiest ED's in Australia (Perth). The department is designed to hold 28 patients but the are nearly always patients on trollies in the corridor. Often there are 8 or more with trollies side by side (5 inches between them). My concern is that we currently have a walk around handover so not only do the 11 patients in the corridor hear all about poor "Mrs Jones" so do others. The hospital does have a confideniality policy. What I am interested in is how do other cramped, overcrowded Emergency Departments handover between shifts.
thanks
Patrick

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  #2  
Old Jun 04, 2008, 04:04 PM
ERRNTraveler (Female)
Registered User
Join Date: May 2007
Re: Handover in ED

Originally Posted by darius000 View Post
I work in one of the busiest ED's in Australia (Perth). The department is designed to hold 28 patients but the are nearly always patients on trollies in the corridor. Often there are 8 or more with trollies side by side (5 inches between them). My concern is that we currently have a walk around handover so not only do the 11 patients in the corridor hear all about poor "Mrs Jones" so do others. The hospital does have a confideniality policy. What I am interested in is how do other cramped, overcrowded Emergency Departments handover between shifts.
thanks
Patrick
In this situation, I would just not do a bedside handoff- get report from the other nurse in an area that is not within earshot of the other patients- like a nurse's station, or the end of the hallway.

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  #3  
Old Jun 04, 2008, 04:29 PM
Larry77's Avatar
Senior Member
Join Date: Sep 2003
Re: Handover in ED

Our hall beds are spread out so when there is someone in the hall there isn't anybody close enough to hear most of the conversation. We also do not usually keep patients in the halls very long so if there is more of a private procedure or conversation needed we usually wait until a room is available.

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  #4  
Old Jun 05, 2008, 07:10 AM
Registered User
Join Date: Apr 2008
Re: Handover in ED

Hi, I am Ozzie also, we tend to give handover to the nurse who will be taking over your beds. This is done at the nurses station hence confidentiality maintained. We used to all get handover for the whole unit which took forever and by the time we finished the pts would of changed!!!

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  #5  
Old Jun 06, 2008, 02:52 AM
Roy Fokker's Avatar
Roy Fokker (Male)
Richard Cory
Join Date: Sep 2004
Re: Handover in ED

The way our ED is set up, there is just no way to maintain total confidentiality - way too easy to overhear.

I would suggest using the med room or something...

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