The process of making a change-of-shift report (handoff): a. ...

[gbarreiro]

The process of making a change-of-shift report (handoff):
 
  a. is an uncommon occurrence of little importance.
  b. occurs only at change of shift and only to oncoming nurses.
  c. can lead to patient death if done incorrectly.
  d. does not allow for collaboration or problem solving.

Question 2

The patient has fallen when trying to climb out of bed. The nurse:
 
  a. needs to complete an incident report as a risk management document.
  b. completes an incident report since it is a permanent part of the medical record.
  c. must document that an incident report was completed in the medical record.
  d. should say nothing about the incident in the medical record.

[sailorcrescent]

Answer to Question 1

ANS: C
An ineffective handoff may lead to wrong treatments, wrong medications, or other life-threatening events, increasing the length of stay and causing patient injury or death. The handoff process can be an opportunity for collaborative problem solving. Improvement in the handoff process can increase patient safety and promote positive patient outcomes. During an average hospital stay of approximately 4 days, as many as 24 handoffs can occur for just one patient because shifts change every 8 to 12 hours and many individuals are responsible for care.

Answer to Question 2

ANS: A
Incident reports are objective, nonjudgmental, factual reports of the occurrence and its consequences. The incident report is not part of a medical record but is considered a risk management or quality-improvement document. The fact that an incident report was completed is not recorded in the patient's medical record; however, the details of a patient incident are documented.

[gbarreiro]

Excellent

[patma1981]

TYSM