It is an oral, written or computer based communication intended to convey information to others.
Eg: Reporting the patient's condition at the end of the hospital work shift.
·          Essential tool for communication
·         Indicates efficiency of the health care team.
·         Avoid duplication of work
·         Help the relieving person to plan the future care
·         Quality patient care
Types of reports:
1. Change- of- shift reports
·         It occurs 2-3 times in a day
·         End of each shift nurse report the clients condition to other nurse working on next shift
·         It provides continuity of care.
·         It can be given orally, by audiotape or during rounds at client's bed side.
2. Telephone reports:
·         It is the information given through telephone.
·         It should be permanently documented in written forms if significant if significant changes in clients condition have occurred
·         The person involved should ensure that the information is clear, accurate.
·         Should document when the call was made, who made it, who was called to whom the information was given and what information was received
3. Transfer reports:
·         It is given when the patient is transferred from one ward to other.
Eg: when a client transferred from ICU to general ward.
·         It involves the communication about the client from one nurse on sending unit to the nurse on the receiving unit
4. Incident reports:
·         An incident is any event not consistent with the routine operation of health care unit or routine care of the client. It will be filed as an incident report.
Eg:- client falls, needle stick injury.
·         The report should be concise, accurate, reporting exactly what the nurse observes and administers the way of care.
·         It is an integral part of quality improvement program .it helps to prevent the reoccurrence.
·         Report among the members of nursing team.
·         Report among the head nurse and her assistant.
·         Report between head nurse and nursing superintendent
·         Report to physician
Minimizing legal liability through effective record keeping:
While writing a record the nurse should keep in mind all the principles of record writing. It should not be merely routine or superficial the nurse must understand the legal implication of documentation.

·         Kept under safe custody of the nurse in each department.
·         No individual sheet is separated
·         Strangers not permitted to read record
·         Handle carefully
·         Not sent out of hospital without permission

·         Maintain confidentiality of the records



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