NURSING

ENDORSEMENT
Clinical Group B
What is
Nursing 01
Endorsement?
❏ Nursing Endorsement also known as Change-of-Shift reports
is a process in which information about patient/ client/
resident care is communicated in a consistent manner.
❏ Endorsement or change-of-shift report is the time when
responsibility and accountability for the care of the patient is
transferred from one nurse to another.
❏ An effective endorsement procedure is vital, as it enables
you to properly transfer patient information, responsibility,
and accountability to a new person or team.
BENEFITS OF AN
EFFECTIVE
ENDORSEMENT
 1 2 3
Keeping Patients care Helping to maintain Allowing healthcare
progressing smoothly records of patient’s workers to communicate
progress issues and concerns, so
the next person can
address them swiftly

4 5 6
Helps healthcare
Promoting a culture of workers to feel more Saves time and
teamwork and prepared and energy
support in the care confident to do their
setting job
 KEY ELEMENTS FOR
EFFECTIVE ENDORSEMENT
THE COMMUNICATION SHOULD INCLUDE THE
FOLLOWING:

● Up-to-date information
● Interactive communication allowing
questions between the giver and
receiver of client information
● Method for verifying the information
● Minimal interruptions
● Opportunity for receiver of information
to review relevant client data
 02
Contents of
Endorsement
1. The identity of the patient. If your healthcare setting
uses initials to protect patients’ anonymity, remember to
refer to them by name during the handover rather than
by their initial or number. This helps you to promote
person-centred care, as you’re acknowledging the
patient as a person, not just a figure.
2. The location of the patient.
3. Their current condition/status and whether or not it’s
stable.
4. Actions you have recently taken.
5. Their current and anticipated needs.
SBAR COMMUNICATION TOOL
❏ State you name, ❏ State client ❏ Vital signs ❏ Ask if HCP wants
unit and client admission diagnosis ❏ Pain Scale to order any tests
name and date of ❏ Is there a change or medications
❏ Briefly state the admission from prior ❏ Ask HCP if she/he
problem ❏ State pertinent assessments? wants to be
medical history notified for any
❏ Provide brief reason,
summary of ❏ Ask if no
treatment to date improvement,
❏ Code status (if when should you
appropriate) call again.
 DO’S
Provide basic identifying Follow a particular order
1. information for each client 4.
For new clients, provide the
Conduct reason for admission or
2. handoff/endorsement in a 5. medical diagnosis (or
private setting diagnoses), surgery (date),
diagnostic tests, and
Report in person, if therapies in past 24 hours.
3. possible, so you can clarify
points and answer
6. Provide exact information
questions.
 DO’S
Include significant changes Clearly state priorities of
7. in client’s condition and 10. care and care that is due
present information in order after the shift begins.

Report clients’ need for Be Specific, Concise and

8. 11.
special emotional support. Clear.
Include current nurse-
9. prescribed and primary care Incorporate a verification
provider– prescribed
12. process
orders.
 DONT’S
❏Don't report irrelevant information.
❏Don't make critical or other inappropriate comments
about the patient, patient's family or health care
provider.
❏Don’t review all biographical information already
available in written form
❏Don’t make assumptions about relationships between
family members
 DONT’S
❏Don’t engage in idle gossip.
❏Don’t describe basic steps of a procedure.
❏Don’t simply describe results as “good” or “poor”. Be
specific.
❏Don’t force oncoming staff to guess what to do first
❏Don't share information with anyone who doesn't
need to know.
THANK
YOU!