12/9/2023 0 Comments Ipass nursing handoff example![]() The hospitalist admitted the patient for observation. The EM physician diagnosed dehydration and renal failure and contacted the onsite hospitalist for admission. The ECG (read by the computer) showed sinus bradycardia, left ventricular hypertrophy, and nonspecific ST and T wave abnormality. Although her cardiac enzymes were within normal limits, her white blood count was 12,700 per mcL (normal 4,500–11,000 per mcL), blood urea nitrogen was 27 mg/dL (normal 7–20 mg/dL), and creatinine was 2.6 mg/dL (normal 0.5–1.5 mg/dL). The emergency medicine (EM) physician ordered a complete blood count, chemistry profile, cardiac enzymes, and an electrocardiogram (ECG).Īfter receiving antiemetic medications, the patient’s nausea improved. The patient reported a history of hypertension, but she had stopped taking her blood pressure medication approximately six months before due to financial problems. The patient, who was five feet four inches tall and weighed 192 pounds (BMI 32.95), had a blood pressure of 190/120. She had anxiety, difficulty swallowing, fever, chills, severe intermittent abdominal cramps, and abrupt onset of chest pain for a few hours prior to admission. Case ExampleĪ 57-year-old female presented at 9:11 PM to the hospital emergency department (ED) complaining of nausea, vomiting, and numbness of the left side of her face and left arm. ![]() As the following case illustrates, miscommunication and missed opportunities resulting from hurried handoffs can produce fatal results. Communication issues among providers continues to be one of the most frequently cited patient safety and risk management factors found in our closed claims analyses. ![]()
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