TIMBANG TERIMA KEPERAWATAN

Summary

The video discusses the process of handover (or 'operan jaga') in a healthcare setting, focusing on the importance of transferring patient care details between nursing shifts. The presenter, Bu Kelly, outlines the preparation needed for the handover, including ensuring readiness of oncoming staff, reviewing patient records, and clarifying patient conditions. The handover involves discussing key medical details such as vital signs and ongoing treatments, followed by a direct exchange with the patient to verify their current state. The process emphasizes clear communication and collaboration for patient well-being across shifts.

Takeaways

• 😀 The handover process is crucial for ensuring smooth transition of care between nursing shifts.
• 😀 Nurses should ensure that the oncoming shift is well-prepared with necessary resources, equipment, and medication.
• 😀 Patient records, including assessments and treatments, must be updated and reviewed during handover.
• 😀 The handover process starts with a pre-conference or briefing before the shift change, followed by a detailed report of each patient's condition.
• 😀 Nurses report on specific details about each patient such as vital signs, current treatment, and recent changes in condition.
• 😀 A clear communication process is essential, with clarification of any patient concerns or questions during the handover meeting.
• 😀 After the handover, nurses must verify the patient’s condition directly with them and ensure they are comfortable and informed about ongoing treatment.
• 😀 The position of patients, such as using the semifowler position, must be maintained if necessary for their comfort and health.
• 😀 Nurses ensure that all the necessary medical treatments, such as nebulizer therapy or oxygen administration, are continued without interruption.
• 😀 At the end of the handover, nurses express well wishes for the patient's recovery and ensure the next shift is ready to take over seamlessly.
• 😀 The handover process includes a respectful and professional exchange of information between teams to ensure patient safety and care continuity.

Q & A

What is the main purpose of a shift handover (operan jaga) in a healthcare setting?

The main purpose of a shift handover is to ensure smooth communication and continuity of patient care when one shift transitions to the next. It involves transferring relevant information about patient conditions and ongoing treatments to the incoming shift.

What are some key preparations that need to be made before conducting a shift handover?

Before a shift handover, it is important to ensure that the incoming staff is ready, patient records are up to date, and all necessary equipment, like medical records, are available. The preparedness of staff and necessary supplies must also be checked.

How is the handover process structured according to the transcript?

The handover process is carried out in stages, starting at the nurse station, followed by a review of patient conditions and records. Afterward, the team goes to the patient’s room to clarify their condition before returning to the nurse station to complete the handover.

What specific patient information is shared during the shift handover?

During the handover, details like the patient's vital signs (heart rate, blood pressure, respiratory rate, temperature), medical history, diagnosis (e.g., COPD), and ongoing treatments (e.g., nebulizer therapy, oxygen therapy) are shared.

What is the significance of the semi-Fowler position mentioned in the script?

The semi-Fowler position is mentioned as a comfortable positioning for patients experiencing shortness of breath or respiratory issues. This position helps the patient breathe easier by elevating the upper body at a 30–45-degree angle.

How does the team address the patient’s condition during the handover process?

The team discusses the patient's current condition, including symptoms like shortness of breath and coughing. They also provide updates on any interventions that have been administered, such as nebulizer treatments and medication, and clarify the patient's needs moving forward.

What steps are taken to ensure effective communication between the shift teams?

Effective communication is ensured through a structured handover process, where key information is shared clearly, and the incoming team has the opportunity to ask questions or clarify any points. This ensures that the next shift is fully prepared to continue patient care.

What role does the patient’s medical history play in the handover?

The patient's medical history, such as their diagnosis of COPD, helps inform the care plan and decision-making for the incoming team. It ensures they understand the patient's long-term condition, treatment regimen, and any complications that may arise.

What was discussed regarding the patient’s medication during the handover?

The team discussed the patient's current medications, including nebulizer treatments with Ventolin, oxygen therapy, and other prescribed drugs like amlodipine. The incoming team is updated on the status and any necessary follow-up actions, like adjusting oxygen levels.

What happens after the handover is completed?

Once the handover is complete, the outgoing shift prepares to leave, and the incoming shift takes over care. Both shifts are expected to ensure that the patient's needs continue to be met seamlessly, and the next shift is briefed on any required follow-ups.