HANDOVER
Handover Time |
Attendees |
Purpose |
Comment |
---|---|---|---|
09:00 |
Night Team RMO1n RMO3n (when available) SHO1-4n F1n GiM Consultant overnight Day Team AMU Consultant on-call Z1 RMO1d SHO1-4d (FRIDAYS ONLY) F1d AMU Consultants Z2 & Z4 AMU JD Z1, Z2 & Z4 AMU JD Clerking (09:00-17:00) Representatives from Medical Specialties AMU Nurse Co-ordinator CCOT (Critical Care Outreach) Resuscitation Officer (if available) |
Handover of sick patients, potential discharges and outstanding tasks in AMU/ED from night team to incoming day team Handover of appropriate patients to the medical specialties in attendance Ensure GiM Consultant On-Call overnight has reviewed the clerked patients in ED/CDU and is aware of any new admissions to Critical Care overnight Learning/discussion around any difficult cases or significant incidents/cardiac arrests overnight Clarify number of patients awaiting clerking in ED/AMU and deploy day team accordingly Assign names and roles on Cardiac Arrest Team and document these on online handover register Inform Medical Workforce if any absences/gaps in night and/or day on-call teams |
SHO1-4d only present at 09:00 handover on Fridays |
14:00 |
AMU Consultant On-Call RMO1 SHO1-4d (‘Twilight’ Mon-Thurs) F1 On-Call AMU JD Clerking (09:00-17:00, 11:00-19:00, 13:00-21:00 shifts) |
Ensure all SHO1-4d (Twilight shift) doctors are present; inform Medical Workforce of any gaps/absences Assign roles and bleeps to SHO1-4d (Twilight shift) doctors; clarify roles on Cardiac Arrest Team; document these in online handover register Assess situation in AMU/ED and deploy staff accordingly Inform Medical Workforce if any absences/gaps in day on-call teams |
This handover is not required on Fridays as SHO1-4d shifts start at 09:00 on Fridays |
17:00 |
AMU Consultant On-Call RMO2 Respiratory SpR On-Call SHO1-4d (‘Twilight’ Mon-Thurs) CCOT (Critical Care Outreach) Doctors from medical base wards (if face-to-face handover of ward patient is required) |
Handover by medical base-ward teams to appropriate SHO1-4d of any potential discharges or patients requiring review / intervention out-of-hours / over the weekend Review of concerto ward cover handover lists by SHO1-4d and distribution of workload Inform RMO2 and Respiratory SpR of any medical patients requiring registrar-level input out-of-hours / over the weekend Handover any deteriorating / unstable patients on medical wards to CCOT and distribution of iBleeps to appropriate ward cover SHO2-4d |
All patients requiring review out-of-hours and over the weekends should be added to appropriate Concerto ward cover list even if verbal handover is given |
21:00 |
Day Team RMO1d RMO2 Respiratory SpR On-Call SHO1-4d (‘Twilight’ Mon-Thurs) F1d AMU JD Clerking (13:00-21:00 shift) Night Team RMO1n RMO3 (when available) SHO1-4n F1n AMU Nurse Co-ordinator CCOT (Critical Care Outreach) H@N Co-ordinator (Night Sister) |
Handover of situation/patients in ED/AMU from RMO1d, SHO1d and F1d to RMO1n, RMO3n, SHO1n, F1n Handover of any unstable ward patients requiring registrar review overnight by RMO2 to RMO1n (Fridays only: Handover of patients requiring review or outstanding tasks on medical wards and cardiac arrest bleeps/roles/iBleeps by SHO2-4d to SHO 2-4n) Handover any deteriorating / unstable patients on medical wards to CCOT Inform GiM Consultant On-Call overnight and Medical Workforce of any gaps/absences in night team Allocation of roles, distribution of workload and deployment of staff on incoming night team to ED/AMU/medical wards as appropriate |
|
00:00 |
RMO1n SHO1-4d (Twilight Mon-Thurs) SHO1-4n
|
Handover of patients requiring review or outstanding tasks on medical wards by SHO2-4d to SHO 2-4n Handover of cardiac arrest bleeps/roles/iBleeps Distribution of workload and deployment of staff on incoming night team to ED/AMU/medical wards as appropriate |
This handover does not occur on Fridays |
Handover Time |
Attendees
|
Purpose |
---|---|---|
09:00 |
Night Team RMO1n RMO3n (when available) SHO1-4n F1n GiM Consultant overnight Day Team GiM/AiM Consultant On-Call RMO1d RMO2 RMO3d (when available) Respiratory SpR SHO1-4d Extra AMU/Clerking SHO (when available) F1d (long) F1d (short) Weekend Consultants from ID, Respiratory, Renal, Diabetes and Elderly Care/Stroke AMU Nurse Co-ordinator CCOT (Critical Care Outreach) Site Lead Nurse and Manager |
Handover of sick patients, potential discharges and outstanding tasks in AMU/ED from night team to incoming day team Handover of appropriate patients to the medical specialties in attendance Ensure GiM Consultant On-Call overnight has reviewed the clerked patients in ED/CDU and is aware of any new admissions to Critical Care overnight Learning/discussion around any difficult cases or significant incidents/cardiac arrests overnight Clarify number of patients awaiting clerking in ED/AMU and deploy day team accordingly Assign names and roles on Cardiac Arrest Team and document these on online handover register Inform Medical Workforce if any absences/gaps in night and/or day on-call teams |
21:00 |
Day Team RMO1d RMO3d (when available) Respiratory SpR On-Call SHO1-4d (‘Twilight’ Mon-Thurs) F1d (long) Night Team RMO1n RMO3 (when available) SHO1-4n F1n AMU Nurse Co-ordinator CCOT (Critical Care Outreach) H@N Co-ordinator (Night Sister) |
Handover of situation/patients in ED/AMU from RMO1d, SHO1d and F1d to RMO1n, RMO3n, SHO1n, F1n Handover of patients requiring review or outstanding tasks on medical wards and cardiac arrest bleeps/roles/iBleeps by SHO2-4d to SHO 2-4n) Handover any deteriorating / unstable patients on medical wards to RMO1n and CCOT Inform GiM Consultant On-Call overnight and Medical Workforce of any gaps/absences in night team Allocation of roles, distribution of workload and deployment of staff on incoming night team to ED/AMU/medical wards as appropriate |