# data[].attributes.body
Ensure that patients are aware that they can participate in bedside handover.

-ask patient if they have anything to add or clarify

good time to update patient/ carer of plan of care, appointments etc

# data[].attributes.body
- Longer global handover

confidential information, not much privacy in shared rooms

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Works well at double staff time when am /pm do their handover. Families are usually present and can also participate. Best time to include patient following care updates from morning rounds.

Pt able to participate and add or clarify information

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Time of day/ shift times

# data[].attributes.headline
Set the agenda with the patient/ family of what handover is and how it works 

# data[].attributes.subject
Set the agenda with the patient/ family of what handover is and how it works 

# data[].attributes.headline
Time constraint issues with having to pick up post op patients. So speeding through handover to accommodate. 

# data[].attributes.subject
Time constraint issues with having to pick up post op patients. So speeding through handover to accommodate. 

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What makes it hard is privacy concerns, interruptions, other sick patients, conflicting priorities

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Recovery handover to ward good example of bedside handover to model back to unit- beside patient, wrist band check, wound check, care discussion in front of patient, signing off transfer of care

# data[].attributes.subject
Recovery handover to ward good example of bedside handover to model back to unit- beside patient, wrist band check, wound check, care discussion in front of patient, signing off transfer of care

# data[].attributes.headline
Patient family causing confidentiality issues if they are in the room and you can’t discuss with your patient privately if they are ok with family being involved with handover. 

# data[].attributes.subject
Patient family causing confidentiality issues if they are in the room and you can’t discuss with your patient privately if they are ok with family being involved with handover. 

# data[].attributes.body
The double staff time makes bedside handover work as it gives a greater amount of time for nurses to handover

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Identifying what issues are confidential 

# data[].attributes.subject
Identifying what issues are confidential 

# data[].attributes.body
We all don’t handover at the bedside, new staff / grads come through and that’s their only norm

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Fear of it taking to long if families get involved 

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Fear of it taking to long if families get involved 

# data[].attributes.headline
When you are not familiar with the patient perhaps you have been off or are CRU staff and you don’t get a detailed handover. You just get a brief patient is all good no changes. 

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When you are not familiar with the patient perhaps you have been off or are CRU staff and you don’t get a detailed handover. You just get a brief patient is all good no changes. 

# data[].attributes.headline
Surg recovery does it well - with check list and transfer of accountability 

# data[].attributes.subject
Surg recovery does it well - with check list and transfer of accountability 

# data[].attributes.headline
Framing the conversation before handover so consumers know when they can contribute

# data[].attributes.subject
Framing the conversation before handover so consumers know when they can contribute

# data[].attributes.headline
Cultural understanding that families aren’t to be included in handover

# data[].attributes.subject
Cultural understanding that families aren’t to be included in handover

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Families can listen and get a more thorough understanding 

# data[].attributes.subject
Families can listen and get a more thorough understanding 

# data[].attributes.headline
We don’t go into the patients room because they want to do a quicker handover.

# data[].attributes.subject
We don’t go into the patients room because they want to do a quicker handover.

# data[].attributes.body
- No computer at bedside

busyness of department ie resources needed at bedside of unwell pt during handover time

Staff habits or interest

Patient presentation (sensitive information that may not be appropriate at bedside)

Lack of documentation or template to track accountability of whether bedside handover has occurred/charts checked.

Time constraints, outgoing shift eager to finish.

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We don’t do a designated NIC to NIC handover. 

# data[].attributes.subject
We don’t do a designated NIC to NIC handover. 

# data[].attributes.headline
Patients not in bed space at time of handover 

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Patients not in bed space at time of handover 

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Disruptions METs/codes/ escalating behaviour  

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Disruptions METs/codes/ escalating behaviour  

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shared room

Time short after group handover

Confused patients

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Handover not protected time (admissions)

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Handover not protected time (admissions)

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infectious rooms

Sleeping patients (from ND to AM)

Confused or BOC

Shared rooms and confidentiality

Time crunch - patients / family asking for tasks to be done at handover

No table to lean on in front of the patient to talk to patient and look at book efficiently

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This you don’t want to discuss in front of patients. 

# data[].attributes.subject
This you don’t want to discuss in front of patients. 

# data[].attributes.headline
Uptake from staff to want to deliver accurate bedside handover

# data[].attributes.subject
Uptake from staff to want to deliver accurate bedside handover

# data[].attributes.headline
Am shift prepared for handover - all charts done

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Am shift prepared for handover - all charts done

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Time to delivery accurately and in detail. 

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Time to delivery accurately and in detail. 

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Based on ratios ?

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At times our C.O.W batteries are not charged which contributes to delays in HO.

Ambulances at times are arriving during HO which complicates the HO processes

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Short safety huddle - gets us to the bedside faster

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Short safety huddle - gets us to the bedside faster

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New bookmarks for medications for review, or new mr21

# data[].attributes.body
Picking up Medication not signed to question and address on spot

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Just walk in the room and do it

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Having computer on wheels available to wheel to end of bed while completing bedside handover or having computer in the cubicle.

Also works well with a bigger team (ie Resus team of 4). One nurse doing set of vitals while other is handing over to the team.

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ANUm on time and to time safety brief

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Patients asleep

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Needing representation from senior members and set the expectation of bedside handover is the way to complete handover!

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Our handovers are still slow. We have not determined as a ward what is and what is not essential for handover. 

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Our handovers are still slow. We have not determined as a ward what is and what is not essential for handover. 

# data[].attributes.headline
We used to have multiple people complete handover on ND but it has changed to 1 person now due to ratio improvements. This has made ND handover much faster. 

# data[].attributes.subject
We used to have multiple people complete handover on ND but it has changed to 1 person now due to ratio improvements. This has made ND handover much faster. 

# data[].attributes.body
Patients in infectious rooms

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Providing a thorough handover with the consumer present 

# data[].attributes.subject
Providing a thorough handover with the consumer present 

# data[].attributes.headline
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