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Handing Over/ Taking Over Report-Existing: Nice Guidelines - Structured Patient Handover - Actual

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HANDING OVER/ TAKING OVER REPORT- EXISTING

Patient Name- Mr. omprakash


Hospital Number-
Male, 40yrs, Med002, SF1, GEN

Time Medicine Time Treatment- Remark Signature


7:30am Patient general condition is
stable. Bowel and bladder habit
is normal. IV Cannula present in
left hand. Patient splept well.
Self-voiding. Back skin intact.
Report handing over and taking
over done.

NICE GUIDELINES- STRUCTURED PATIENT HANDOVER- ACTUAL


A handover of care that uses the approach outlined in the SBAR (situation–background–assessment–
recommendation) tool to facilitate efficient handover of patients between transferring and receiving teams. It
includes:

 a summary of the stay, including diagnosis and treatment

 a monitoring and investigation plan

 a plan for ongoing treatment, including drugs and therapies, nutrition plan, infection status and any
agreed limitations of treatment

 a discharge plan

 physical and rehabilitation goals

 mental health, psychological and emotional needs

 specific communication or language needs

 Tasks still to do.


The plan also needs to be communicated to the person or their next of kin.
Ideal nurses note

Date Medicine Time Treatment- Remark Signature/id


no
21/2/202 7:30am Patient general condition is Lalita /13411
0 stable. Bowel and bladder habit
is normal. IV Cannula present in
left hand. Patient splept well.
Self-voiding. Back skin intact.
Report handing over and taking
over done.

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