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What is Strategic Use of Time?
In addition to the three communication competencies for handovers, there are ways to make patient handovers more efficient, including spending less time on patients who do not need as much. These tactics are what we refer to as strategic use of time.
Time Allocation
Strategic use of time means optimizing the amount of time spent on each patient. The most time should be devoted to complex patients, such as those requiring intensive intervention; or uncertain patients, such as those without a definitive diagnosis or who need if-then contingency planning. Less time can be spent with patients who are handbacks -- a patient the incoming clinician has cared for in the last 24 hours when the situation remains uncomplicated, or 'wrapped up and ready to go'.
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Mr. Black
What do you see in this handover?
Watch the video and select your answer by clicking one of the buttons on the right.
Collaborative Cross-checking
Since the incoming had Mr. Black yesterday, you wont need to cover much beyond changes that have occurred over the last 24 hours
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Mr. Hugo
What do you see in this handover?
Watch the video and select your answer by clicking one of the buttons on the right.
Collaborative Cross-checking
Mr. Hugo is a difficult case and the outcoming clinician delivers a contingency plan
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Mr. White
What do you see in this handover?
Watch the video and select your answer by clicking one of the buttons on the right.
Collaborative Cross-checking
Mr. White is a pretty straightforward case. He'll be leaving soon and will not require much care prior to discharge.
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Let Me Try: Longer or Shorter Time?
Click on a patient's picture to watch the video of their handover.
Based on the information you hear, which handover strategy is appropriate?