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Ideas for educators/facilitators to support the effective use of the Clinical Handover educational training DVD.
“Know the Plan, Share the Plan, Review the Risk” is an educational film developed by SA Health in partnership with New South Wales Health for the purpose of training clinical staff in best practice clinical handover. This clinical handover DVD follows a patient’s journey of care from home to rural emergency department via ambulance, to metro hospital, from recovery to ward, and then transfer back to country hospital for rehabilitation. Following the Introduction are six vignettes of clinical handover in different stages of the patient’s journey of care. They are:
The final film clip (Chapter 7) “Mary’s Care”, is a recap of the six principles of effective clinical handover and showcases the patient’s perspective of clinical handover in her journey of care.
The film has been segmented into chapters to enable a “flexible”approach to education. It allows you to select the clinical handover vignette most appropriate to the context of the intended audience rather than viewing all vignettes in one sitting. It is recommended to be used in the following manner:
The Introduction gives the background to the importance of clinical handover and introduces the six principles of effective clinical handover. It begins the “journey of Mary” through the health care system from her home where paramedics retrieve her and take her to the local rural Emergency Department.
Clinical Handover between paramedic and Emergency Department Nurse at bedside with daughter present.
Clinical handover between the rural general practitioner and metro registrar to arrange for “Mary” to be transferred to metro hospital for surgical repair of her hip fracture.
Bedside clinical handover from recovery RN to Orthopaedic Ward RN. Recovery RN attempts to abbreviate handover but is prompted to give best practice handover.
Night cover doctor takes clinical handover from day shift intern.
Includes the consultant orthopaedic surgeon, RN, pharmacist, physical therapist, ortho-geriatrician, and junior doctors in a bedside clinical handover.
The orthopaedic registrar at the metro hospital provides a clear transfer of accountability and responsibility for “Mary’s care back to the general practitioner at the rural health service
A recap of the six principles of effective clinical handover and commentary of the patient and daughter’s experience in the journey of care in relation to clinical handover.