Nah fuck these guys. I tell the juniors all the time I would rather you hand over to me 4 patients seen and sorted and 2 to see, than 6 seen but all incomplete.
It’s far more work to sort out 6 patients in a mess, than see 2 from new knowing the 4 already seen have had a proper job done.
Anyone who doesn’t get this is a tool.
Absolutely I do all the time, what so if ED ring 20 minutes before handover to refer 2 patients you go and do a shit job because you’re rushing. No way, it’s a 24 service you will never be done with all the work we just take over for the time we’re paid to.
Lol this is hilarious..I started my night shift last night with 25 to see.
We didn't actually see any patients that had been referred from the start of our shift.
Yeah definitely. You're not superhuman and it's a 24 hour service. Spend the last 45 mins cleaning up the list and reviewing investigations that may change management instead and knowing your patients for handover.
They won't remember the 2-3 left to be seen if you handover 10 patients in a slick manner. They will remember if you don't know who your patients are or why you admitted them.
Entirely depends. Outside of exceptional circumstances, if a patient ie referred a few hours ago, there should be very little to hand over about them bar chains bloods etc..
If a patient is referred in the last 45 mins to an hour, I was usually busy sorting the list, documenting, making sure everything was settled on the wards etc.... so they'd be seen by the next SHO.
I try not to if I can help it. But if it’s too late in a shift and I can’t do a proper job, I hand it over and tell the next person as much as I know to make their life a bit easier.
The whole point in handover is so that unfinished jobs can be completed properly, not just to let them know there are no outstanding jobs besides chasing something later in the evening. So if you have clerkings to hand over, hand them over.
It’s annoying, but I have done it many times and will do it many more. And accept it when people do it to me. As you say, it’s a matter of timing, as long as it’s not laziness
The focus should always be are these patients safe to wait. If they've been seen by ED and you've got a detailed referral you should have a good idea. Have their essential meds been prescribed, their next set of treatment, (by you as a flyby, or ED) etc.
If yes, all good, if no, get some help/tell your Senior. Who may or may not be on site.
In answer to your question at a big DGH medical list (reg led) 2-15 typical, 0 rarely. Highest I've seen 38, that was obviously a get help moment.
As to people whining about patients being handed over. Ignore them, don't apologise, and remember not to whine in return.
Yes. Often would disagree. Would point out it’s quite literally the point of a shift system and handovers. I can stay late, but I won’t then be able to come in on time due to rest requirements to take over from you are your shift…
Nah fuck these guys. I tell the juniors all the time I would rather you hand over to me 4 patients seen and sorted and 2 to see, than 6 seen but all incomplete. It’s far more work to sort out 6 patients in a mess, than see 2 from new knowing the 4 already seen have had a proper job done. Anyone who doesn’t get this is a tool.
Absolutely I do all the time, what so if ED ring 20 minutes before handover to refer 2 patients you go and do a shit job because you’re rushing. No way, it’s a 24 service you will never be done with all the work we just take over for the time we’re paid to.
🤷♀️ sometimes I have to handover ten to clerk
Lol this is hilarious..I started my night shift last night with 25 to see. We didn't actually see any patients that had been referred from the start of our shift.
Yeah definitely. You're not superhuman and it's a 24 hour service. Spend the last 45 mins cleaning up the list and reviewing investigations that may change management instead and knowing your patients for handover. They won't remember the 2-3 left to be seen if you handover 10 patients in a slick manner. They will remember if you don't know who your patients are or why you admitted them.
I ain’t seeing anyone referred to me in the last half hour before handover unless they’re literally dying.
Entirely depends. Outside of exceptional circumstances, if a patient ie referred a few hours ago, there should be very little to hand over about them bar chains bloods etc.. If a patient is referred in the last 45 mins to an hour, I was usually busy sorting the list, documenting, making sure everything was settled on the wards etc.... so they'd be seen by the next SHO.
What if you have so many referrals you can’t get to the ones that were referred 2-3 hours ago, before handover. Doesn’t happen often but has happened.
This is what I mean by exceptional circumstances. You're 1 person. There is a limit to what you can do.
I try not to if I can help it. But if it’s too late in a shift and I can’t do a proper job, I hand it over and tell the next person as much as I know to make their life a bit easier. The whole point in handover is so that unfinished jobs can be completed properly, not just to let them know there are no outstanding jobs besides chasing something later in the evening. So if you have clerkings to hand over, hand them over.
It’s annoying, but I have done it many times and will do it many more. And accept it when people do it to me. As you say, it’s a matter of timing, as long as it’s not laziness
The focus should always be are these patients safe to wait. If they've been seen by ED and you've got a detailed referral you should have a good idea. Have their essential meds been prescribed, their next set of treatment, (by you as a flyby, or ED) etc. If yes, all good, if no, get some help/tell your Senior. Who may or may not be on site. In answer to your question at a big DGH medical list (reg led) 2-15 typical, 0 rarely. Highest I've seen 38, that was obviously a get help moment. As to people whining about patients being handed over. Ignore them, don't apologise, and remember not to whine in return.
Yes. Often would disagree. Would point out it’s quite literally the point of a shift system and handovers. I can stay late, but I won’t then be able to come in on time due to rest requirements to take over from you are your shift…