How to Answer: You are nearing the end of your 12-hour shift on your inpatient unit and you are exhausted from caring for eight high-acuity patients. As your colleague arrives to relieve you, tell me how you proceed.
Advice and answer examples written specifically for a Situational Nursing job interview.
47. You are nearing the end of your 12-hour shift on your inpatient unit and you are exhausted from caring for eight high-acuity patients. As your colleague arrives to relieve you, tell me how you proceed.
How to Answer
When inter-shift information is involved, nurses must ensure that they properly handover information to their colleagues properly, even if this means they stay late to complete handover paperwork on each of their patients. Failing to properly handover information to the next nurse could have dire consequences to patients, making handovers a vital element of a nurse's set of responsibilities. Many facilities have standardized handover templates for nurses to complete before the end of their shifts, and these templates include elements such as: background, assessments, vitals, and recommendations. While many electronic health record systems pre-populate much of this information, it is imperative the remaining information is completed. The interviewer is asking this question to determine if the candidate understands the importance of completing handovers. To effectively answer this question, the candidate should indicate they would ensure handover information for all patients was completed before departing for the day. A more successful answer to this question would include an example from the candidate's nursing career where they ensured their handovers were completed despite being exhausted or dealing with other confounding factors.
Written by Kelly Burlison on June 3rd, 2019
1st Answer Example
"In this situation, even though I am exhausted, I would complete handover templates for all my patients, if I haven't already. This is especially true because you said the eight patients are high-acuity, which means there is a lot the next nurse needs to know about them. I could never leave my patients without completing handovers, because not only could I not leave my coworker in a bad situation, but I also don't want to put my patients at risk. Last week, I was in a similar situation, where I had been so busy that I didn't have time to complete handovers until my coworker arrived to relieve me. So, I stayed late and completed the templates for all my patients, despite the fact that I was tired and ready to go home."
Written by Kelly Burlison on June 3rd, 2019
2nd Answer Example
"At shift change, it's so important to give a concise but thorough report to the oncoming nurse who will be caring for the patients I had during my shift. If these patients were high-acuity, that's all the more reason to make sure no important details are missed. I want to ensure the oncoming nurse has all of the information needed to provide safe care to our patients. I have a brief 'cheat sheet' that I keep for all of my patients throughout the shift. It keeps me on track for all of my patients' orders, vital signs, conditions, and charting. Therefore, regardless of how tired I am at the end of my shift, I have the information necessary to complete a safe handoff to my oncoming colleague or colleagues."
Written by Kate Buckley on January 10th, 2023
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About the Author
I began my career in emergency medical services (EMS) over 30 years ago, working as a Firefighter-Paramedic, EMS Captain, Mental Health Technician, ER Technician, EMT and Paramedic Adjunct Instructor, and EMS Educator. During my career, I had the privilege of serving on over one thousand interview panels to help various organizations choose the right candidate for the job.
I have created curricula and training materials to prepare candidates for interviews and held mock interview courses for all types of healthcare professionals. My interview experience includes hiring emergency medical technicians, paramedics, firefighters, nurses, medical assistants, home health aides, and physician assistants.
As a coach and contributor for MockQuestions, I am excited to help you navigate your upcoming nursing interview. While these situational questions assess your critical thinking and communication skills, interviewers also ask these questions to gain insight into your personality to determine if you will be a good fit with the company culture. Remember to be relaxed and be your authentic self. Best of luck in nailing your interview!
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