Candidate card · Nursing

You are the nurse

A bedside handover and an overheard detail

Setting: A general ward

A patient heard personal information discussed during a previous bedside handover. The ward can move sensitive discussion to a private space and ask the patient which visitors may remain.

Task

  • Explore the concern behind the opening: "I do not want my neighbours hearing my history again when they visit."
  • Clarify the specific barrier and acknowledge its effect on the patient.
  • Explain the supplied next steps and respond to this possible question: "Does privacy mean the next nurse will not be told anything about the problem?"
  • Check the patient can distinguish what is agreed from what needs confirmation.
A bedside handover and an overheard detail supplied plan
  • A patient heard personal information discussed during a previous bedside handover. The ward can move sensitive discussion to a private space and ask the patient which visitors may remain.
  • The nurse can ask visitors to step out before handover and arrange a private discussion for sensitive information.
  • The incoming nurse still needs relevant information for care; the patient can raise concerns about where and how that is shared.
  • Do not promise to remove relevant information from the care record or withhold it from the treating team.
  • I can ask your visitors to step outside before today's handover begins. We can move the sensitive part of the discussion to a private place.
  • The nurse taking over still needs relevant information for your care. We can share that privately with the team without discussing it in front of visitors.

Fictional exam scenario only. Supplied arrangements are not medical guidance for a real patient..