"At my current position, we have a process for transitioning at shift change. To start, the nurses coming off shift and those coming on have a huddle that is led by the unit supervisor at each shift change. Here, any significant issues with patients are discussed. Next, if any work remains to be done with a patient, we communicate to each other one on one to ensure that the needs of our patients are met."

"During my clinical rotation on a Med/Surg unit, I had the chance to sit in the shift change huddles that occurred each day at the end of my shift. Witnessing how important the communication was between the nurses coming on and off shift was very vital in my learning how to be a great nurse. They took the time to talk about any patient issues and problem solved on any issues that required problem-solving. These are great learning experiences I will be able to bring to this job."

"Throughout my career, I have taken it upon myself to be an effective communicator during shift changes. In the nursing field, issues arise on each and every shift and to ensure that our patients are taken care of the best as possible, communication is key."

"In my current role, I work twelve-hour shifts, from 7 AM to 7 PM. Many times, when the nurse for the evening shift arrives, I am still assisting a patient, and she immediately begins her nightly routine, so we do not get to talk face-to-face. So, to ensure everything is communicated appropriately during shift-change, I worked with our clinical applications department to develop a clinical handoff note that is built in the medical record. This is a communication tool that staff can use to communicate during shift changes or when they are going to be away for time off. I use this tool to document the pertinent information about each of my patients so that it is in one place for the next nurse to see when she arrives on shift. It has been extremely helpful in ensuring that nothing slips through the cracks and it allows the next nurse to get up-to-speed without having to read through every patients' notes upon first arriving on shift."

"I begin my seamless transition at the start of my shift by making sure I document clearly and thoroughly throughout my full shift. When it comes time for handoff to the oncoming nurse, I always complete our handoff report at the patient's bedside. I think it is extremely important to involve the patient in the handoff to make sure communication is thorough and the most up-to-date. When I provide handoff, I communicate concisely what occurred during my shift and always ask the oncoming nurse if they have any questions that I can answer. When I'm the nurse coming on I always listen intently to the other nurse without interrupting. At the end, if I am uncertain about something, I will then ask the nurse prior to them leaving for the day."