Developing a Bedside Handoff Process for Postpartum Patients Kelli Benson, BSN, RN, RNC-MNN Ferris State University Plan Study Act Repeat staff survey.

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Presentation transcript:

Developing a Bedside Handoff Process for Postpartum Patients Kelli Benson, BSN, RN, RNC-MNN Ferris State University Plan Study Act Repeat staff survey Repeat patient survey Bedside handoff audits Bedside staff volunteers Ongoing feedback Revisions of standardized handoff tool Revisions of bedside handoff process Project goals: To improve the handoff process between the labor and delivery (L&D), postpartum, and antepartum departments. To improve patient involvement in handoff report. Problems addressed: No patient involvement in handoff No face to face handoff Needed use of Situation, Background, Assessment, Recommendation structure (SBAR) for handoff Support: Bedside handoff has been shown to improve: Patient outcomes, engagement, and satisfaction Staff communication, accountability, and satisfaction Root Cause Analysis: Environment: different models of care Management: different managers, styles, and experience levels Equipment: unreliable phone system, not using electronic medical record for handoff Process: phone handoff, transfer time inconsistent People: patient and family not involved, patient transferred by nursing assistant, lack of understanding of each other’s roles New Handoff Process Labor and delivery calls receiving unit to give 15 minute “heads up” to transfer Receiving nurse available at bedside Handoff occurs at bedside Patient and family included Standardized Handoff Tool Developed by staff Initiated in labor and delivery Used at bedside SBAR format References Groves, P. S., Manges, K. A., & Scott-Cawiezell, J. (2016). Handing off safety at the bedside. Clinical Nursing Research, 25(5), 473-493. doi: 10.1177/1054773816630535 Holden, A. C. (2012). Commitment to putting new mothers first: Implementing bedside report in a family birthing center. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(1), s60-s61. doi: 10.1111/j.1552-6909.2012.01361.x Jeffs, L., Acott, A., Simpson, E., Campbell, H., Irwin, T., Lo, J.,…Cardoso, R. (2013). The value of bedside shift reporting: Enhancing nurse surveillance, accountability, and patient safety. Journal of Nursing Care Quality, 28(3), 226-232. doi: 10.1097/NCQ.0b013e3182852f46 Mardis, T., Mardis, M., Davis, J., Justice, E. M., Riley Holdinsky, S., Konnelly, J.,…Riesenberg, L. A. (2016). Bedside shift-to-shift handoffs. Journal of Nursing Care Quality, 31(1), 54-60. doi: 10.1097/NCQ.0000000000000142 Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D., M. (2012). Bedside nurse-to-nurse handoff promotes patient safety. MedSurg Nursing, 21(3), 140. Retrieved from http://www.medsurgnursing.net/cgi-bin/WebObjects/MSNJournal.woa Olson-Sitki, K, Weitzel, T., & Glisson, D. (2013). Freezing the process: Implementing bedside report. Nursing Management, 44(7), 25-28. doi: 10.1097/01.NUMA.0000431431.39008.af Olvera, L. & Campbell Bliss, M. (2010). Perfecting the patient handoff: Improving the process for patients and nurses. Nursing for Women’s Health, 14(6), 496-504. Retrieved from http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1751-486X Spinks, J., Chaboyer, W., Bucknall, T., Tobiano, G., & Whitty, J. A. (2015). Patient and nurse preferences for nurse handover-using preferences to inform policy: a discrete choice experiment protocol. British Medical Journal, online. doi: 10.1136/bmjopen-2015-008941 Vines, M. M., Dupler, A. E., Van Son, C. R., & Guido, G. W. (2014). Improving client and nurse satisfaction through the utilization of beside report. Journal for Nurses in Professional Development, 30(4), 166-173. doi: 10.1097/NND.0000000000000057 Do Staff Involvement: Requesting volunteers from all departments Utilized to help develop the handoff tool and staff survey questions in order to increase success of the new procedure Standardized Tool: Developed to provide handoff that provided the information needed by all departments Ensure the patient would be appropriately updated Patient Survey: Determine patient perspective of involvement Before and after the change in practice Staff Survey: Elicit staff opinions related to handoff Before and after the change Acknowledgements The author acknowledges Emily Jackson, MSN, CNM who provided extensive support, guidance, and expertise during this project.