February 07, 2021
Clinical handover of a patient from the Emergency Department to the in-patient ward.
Alignment to Western Health Best Care Framework:
Safe Care & Coordinated Care
Why is this important:
Clinical handover is defined as ‘the transfer of professional responsibility and accountability for some or all aspects of care for a patient or a group of patients, to another person or professional group on a temporary or permanent basis’.
Handover applies when transitions of care occur. A standardised approach to clinical handover facilitates effective and efficient communication, providing all staff with clear expectations and responsibilities for the ongoing care of the patient. This minimises risk to the patient.
What does this looks like in practice:
Complete on EMR
|Ensure all medications are signed correctly on the MAR.
|Record alerts, allergies, lines & devices.
|Allergies and Alerts including pressure injuries and BOC score.
|COVID nurse risk assessment.
|Lines & Devices.
|Complete fluid balance and risk assessments.
|Document handover has been received.
|Review all admission notes.
|Final set of vital signs.
Figure 1: Example of ED to Ward handover documentation
Clinical Handover -Procedure and unitED QRG