![]() ![]() Explain any potential situations that may impact your patient’s current health status and your plans to address them. Jones is sitting at 98 percent on two liters NC and is afebrile.” This should give a clear snapshot description of your patient’s current health condition.Įxample: “Right now, Mr. Urinalysis was negative, but his IV site looked red, so we started Vanco.” His portable chest x-ray was improved from admission. Jones’ temperature spiked to 39.5 degree Celsius, and his white count bumped from eight to 14. Taking mental inventory of these events will help you identify the most timely background information to share during sign-out.Įxample: “Today, Mr. Before handing your patient over to a colleague, ask yourself what the biggest events of the day were that impacted your patients and/or their treatment. Jones came in a week ago hypoxic and hypotensive but improved rapidly with IV levofloxacin.” Offer a concise explanation of the patient’s overall hospital stay, particularly noting how long he or she has stayed in the hospital and key developments on their treatment.Įxample: “Mr. Jones is a 77-year-old gentleman with a right middle lobe pneumonia." This information specifically pertains to describing the patient’s identity and the main reason for their hospitalization, which you should be able to summarize for another resident in one clear, succinct sentence.Įxample: “Mr. He’s our sickest patient, and he’s full code.” S- Sick or DNR? Be sure to explain if your patient falls into either of these categories and offer and explain how.Įxample: “Okay, this is Mr.Follow this quick checklist for the top details to cover the next time you discuss your patients with a colleague: To avoid this, she said researchers have developed a simple acronym-SIGNOUT-to help residents identify the key patient information they should communicate with care members during sign-outs. In fact, “by the time you get to the 10th patient, the receiver is not paying attention,” Dr. Arora is an academic hospitalist and associate professor at the University of Chicago Medicine, who specializes in improving the learning environment for medical trainees and the quality, safety and experience of care delivered to hospitalized adults.īut running through a litany of patient details in conversation won’t help your fellow residents learn the information they need to successfully care for your patients after your shift. ![]() How do you make sure you’ve discussed the most pertinent patient details with the next resident on your shift? An easy-to-remember acronym can help you conduct highly effective verbal sign-outs.ĭuring sign-outs, it’s not uncommon for residents to “start reading from the very first patient on their sign-out,” Vineet Arora, MD, said in a presentation about the art and science of handoffs. ![]() As a resident, your ability to safely care for patients often depends on how well you capture and communicate information about them to colleagues. ![]()
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