FON REPORTING

Question 1

An oral or written exchange of information between health care professionals.

Answer 1

REPORTING

Question 2

Must be concise and include pertinent information but no extraneous detail.

Answer 2

REPORTING

Question 3

4 Types of Reporting

Answer 3

-Change-of-Shift Report
-Telephone Report
-Care Plan Conference
-Nursing Rounds

Question 4

It is a process in which information about a patient is communicated in a consistent manner including an opportunity to ask and respond to questions.

Answer 4

Change-of-Shift Report/Handoff

Question 5

it allows the oncoming nurse the ability to ask
questions and gain confidence to care for the client.

Answer 5

Face-to-Face Communication

Question 6

is given to all nurses on the next shift.

Answer 6

COS/Handoff

Question 7

Key Elements for Effective COS/Handoff Communication

Answer 7

The communication should include the following:
* Up-to-date information
* Interactive communication allowing for questions between the giver and receiver of client information
* Method for verifying the information (e.g., repeat-back, readback techniques)
* Minimal interruptions
* Opportunity for receiver of information to review relevant client
data (e.g., previous care and treatment).

Question 8

3 Important Features of COS/Handoff

Answer 8

1. Two-way Face-to-Face Communication
2. Written Support tools
3. COntent in handover capture problems and interventions

Question 9

Relevant Information During a Change-of-Shift Report

Answer 9

-Provide basic identifying information for each client
-For new clients, provide the reason for admission or medical
diagnosis, surgery, diagnostic tests, and
therapies in the past 24 hours.
- Include significant changes in the client’s condition and present information in order.
-Provide exact information on special procedures or medications
-Report clients’ need for special emotional support.
-New orders for the patient
-Priorities of care at the start of the new shift
-Be concise, don’t elaborate on background
-Incorporate verification process.

Question 10

Sample Handoff Communication Tools

Answer 10

• I PASS the BATON: Introduction, Patient, Assessment, Situation, Safety Concerns, Background, Actions, Timing, Ownership, Next
• I-SBAR: Introduction, Situation, Background, Assessment,
  Recommendation
• PACE: Patient/Problem, Assessment/Actions, Continuing
  (treatments)/Changes, Evaluation
• Five-P’s: Patient, Plan, Purpose, Problem, Precautions, Physician (assigned to coordinate)

Question 11

the
_______ allows for an easy and focused way to set expectations
for what will be communicated and how between members
of the team, which is essential for developing teamwork and
fostering a culture of patient safety

Answer 11

SBAR

Question 12

SBAR CONTAINS-

Answer 12

S = Situation
* State your name, unit, and client name.
* Briefly state the problem.
B = Background
* State client admission diagnosis and date of admission.
* State pertinent medical history.
* Provide brief summary of treatment to date.
* Code status (if appropriate).
A = Assessment
* Vital signs
* Pain scale
* Is there a change from prior assessments?
R = Recommendation
* State what you would like to see done or specify that the
care provider needs to assess the client.
* Ask if healthcare provider wants to order any tests or
medications.
* Ask healthcare provider if he or she wants to be notified
for any reason.
* Ask, if no improvement, when you should call again.

Question 13

True/False
In TO The individual receiving the information should repeat it back to the sender to ensure accuracy

Answer 13

True

Question 14

It is a communication tool that is often used for telephone
reports.

Answer 14

SBAR

Question 15

Guidelines for Telephone
and Verbal Orders

Answer 15

1. Know the state nursing board’s position on who can give and
   accept verbal and phone orders.
2. Know the agency’s policy regarding phone orders (e.g., colleague listens on extension and cosigns order sheet).
3. Ask the prescriber to speak slowly and clearly.
4. Ask the prescriber to spell out the medication if you are not
   familiar with it.
5. Question the drug, dosage, or changes if they seem inappropriate for this client.
6. Write the order down or enter into a computer on the physician’s order form.
7. Read the order back to the prescriber. Use words instead of
   abbreviations (i.e., “3 times a day” instead of “tid”).
8. Have the prescriber verbally acknowledge the read-back (i.e.,
   “Yes, that is correct”).
9. Record date and time and indicate it was a TO or VO. Sign
   name and credentials.
10. When writing a dosage always put a number before a decimal (i.e., 0.3 mL) but never after a decimal (i.e., 6 mg).
11. Write out units (i.e., 15 units of insulin, not 15 u of insulin).
12. Transcribe the order.
13. Follow agency protocol about the prescriber’s protocol for
    signing telephone orders (i.e., within 24 hours).
14. Never follow a voice-mail order. Call the prescriber for a client
    order. Write it down and read it back for confirmation.
    Once the order is written on the physician’s order
    form, the order must be countersigned by the primary care provider within a time period described by agency policy. Many acute care hospitals require that this be done
    within 24 hours.

Question 16

It is a meeting of a group of nurses to
discuss possible solutions to certain problems of a client,
such as inability to cope with an event or lack of progress toward goal attainment.

Answer 16

Care Plan COnference

Question 17

It allows
each nurse an opportunity to offer an opinion about possible solutions to the problem.

Answer 17

Care Plan Conference

Question 18

are most effective when there is
a climate of respect—that is, nonjudgmental acceptance of
others even though their values, opinions, and beliefs may
seem different

Answer 18

Care Plan Conference

Question 19

are procedures in which two or more
nurses visit selected clients at each client’s bedside to:
* Obtain information that will help plan nursing care.
* Provide clients the opportunity to discuss their care.
* Evaluate the nursing care the client has received.

Answer 19

Nursing Rounds

Question 20

To facilitate client participation in nursing rounds, nurses need to use terms that the
client can understand. Medical terminology excludes
the client from the discussion

Answer 20

Nursing rounds offer
advantages to both clients and nurses: Clients can participate in the discussions, and nurses can see the client and the equipment being used.