NHS Borders clinical guidelines
| Practice | Mode of Handover | Person responsible | |
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Handover between co-ordinators |
At each change of shift the co-ordinators will handover to each other. |
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Huddle between midwifery and medical staff |
Each morning the midwife co-ordinator will huddle with the medical team. |
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One to one handover of care by midwives (Labour ward) |
Each individual midwife will hand over the care of their assigned women using an SBAR to the next midwife. The handover and takeover midwife should verify the SBAR. |
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Between shifts
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The midwife responsible for women under their care should complete an SBAR with relevant information pertaining to their woman. There will be a verbal handover alongside this for the takeover midwife. |
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Team handover in Labour Ward |
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Postnatal women on Ward 16 should be handed over verbally |
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Transfer of patient from areas. Ward16-Labour Ward Labour Ward- Ward16, PAU to Ward16/LW, Antenatal Clinic- Ward16 |
The responsible midwife should complete an SBAR on Badgernet. |
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Antenatal and Postnatal discharge to community
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The individual midwife caring for the woman should complete an SBAR. |
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Referral to Medical team |
The midwife should complete an SBAR for a medical review.
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Transfer out of area |
The Midwife should complete an SBAR Medical staff should complete a discharge letter |
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Handover Care Procedure
Objectives
An effective working relationship between the multidisciplinary team and a clear organisational structure for midwives and medical staff with precise and evident lines of communication is essential to ensure optimum care of women and their families. This process guidance will describe the process for ensuring that there is an efficient system in place for handover and takeover of care between healthcare professionals involved with caring for women and babies.
NHS Borders is committed to the delivery of safe, effective, and person-centred clinical care to all patients. This guideline is to be used by all healthcare professionals who handover care to another healthcare professional, in relation to all women and neonates. This includes all maternity inpatient areas, between shifts, transfer of care and prior to breaks in care and between healthcare professionals.
Handover of care
SBAR consists of standardised prompt questions in four sections to ensure that staff are sharing concise and focussed information. It reduces the need for duplication and likelihood of errors. This should prompt staff to formulate information with the right level of detail.
SBAR
The SBAR is based upon:
Situation – e.g., stage of labour, in theatre, epidural,
oxytocin, MEWs escalation, PN referral, antenatal referral.
Background- e.g., parity, age, BMI, blood group, allergies, obstetric /medical history, anaesthetic issues, child protection, mental health, language barriers, special needs.
Assessment e.g., MEWs observations, palpation, VE, contractions, progress in labour, fetal heart rate/CTG classification, bladder care, risk factors, fluid balance, birth plan, neonatal issues.
Recommendations- e.g., current plan, patient discussion, risk/management plan documented
| Practice | Mode of handover | Person Responsible | |
All antenatal referral to BGH |
The individual midwife should complete an SBAR on Badgernet and verbal handover on communication with BGH co-ordinating midwife |
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Individual Midwife |
Postnatal referral |
The individual midwife should complete an SBAR |
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Individual Midwife |
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Transfer of homebirth |
The transferring midwife should complete SBAR |
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Individual Midwife |
| Practice | Mode of handover | Person responsible | |
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Midwife transferring baby to SCBU |
SBAR should be completed on transfer |
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SCBU staff transferring baby to Ward |
SBAR should be completed on transfer |
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