What impact does the development of a standardised OT handover 
                                                                                                                                          method have on the MDT? 
                                                                                                                                                                                                                        
                                                                                     H. Davey, R. Wingfield, M. Resnick – Neuro Team, Occupational Therapy 
                                                  
                              Introduction                                                                                           How?                                                                                                                                          ‘I would feel 
           With the development of                                                                       We began by discussing                                                                           ‘I can look at it                                                        more confident                                                                     Evaluation 
                                                                                                                                                                                                          in MDT and go                                                            reading it as                                              Through the development of 
           E-care we identified a                                                                        what would work most                                                                             straight to the                                                          there is more                                              the standardised OT 
           service need for change                                                                       efficiently for us and what                                                                      sections I need’                                                         information’ 
           to the G8 OT plan within                                                                      information we wanted                                                                                                                                                                                                                handover we have been 
           the SOAP notes.                                                                               and needed to include.                                                                    Which handover style do you prefer?  20                                                                                                    able to:  
                                                                                                         We then expanded our                                                                                                                                                                                                                 -       Combine the SOAP notes 
                                                                                                                                                                                                  Example 1.                                                       15                                                                                 and the handover 
           In addition the handover                                                                      ideas (Example 2) to                                                                      P, CAB referral 
                                                                                                                                                                                                  Practice transfers whilst on ward                                10                                                                         -       Reduce OT presence at 
           of patients between G8                                                                        ensure it would also work                                                                  
                                                                                                                                                                                                                                                                                                                                                      daily board round from 4 
                                                                                                         for the rest of the MDT by                                                                                                                                  5
           OT’s needed to be                                                                                                                                                                      Example 2.    
           clearer.                                                                                      running a trial period                                                                    Plan/Handover                                                                                                                                      OT’s to 1, thus saving an 
                                                                                                         within our note writing.                                                                 Most recent barthel score:                                         0                                                                                average of 1.5hrs a day  
                                                                                                                                                                                                                                                                               handover 1               handover 2
                                                                                                                                                                                                  4/20                                                                         Example 1                  Example 2                           -       The time saved allows 
                                                                                                         We surveyed 20 MDT                                                                         
           A team of 4 OT’s work on                                                                                                                                                               Status update:                                                                                                                                      increased patient contact  
           G8 covering a 7 day                                                                           staff members to gain                                                                    Dependent at present -currently on bed and supported seating phase of rehab 
                                                                                                                                                                                                  -functional prognosis is poor and dependency is anticipated                                                                                 -       Meet our CPD and PDP 
           service.                                                                                      feedback (see graph).                                                                      
                                                                                                                                                                                                  Re: d/c:                                                                                                                                            requirements for service 
                                                                                                                                                                                                  -Aiming for discharge home                                                                                                                          development. 
                                                                                        Why?                                                                                                      -Patient may be discharged home pending medical clearance and care package  
                                                                                                                                                                                                                                                                                                                                              We will continue to audit and 
               Patient plans were unclear, weak and vague resulting in                                                                                                                            Onward referral: 
                                                                                                                                                                                                  -community OT referral for exploration of seating and accessibility at home                                                                 evaluate the handover 
                                                                                                                                                                                                    
               poor handover (Example 1). This then affected patient’s                                                                                                                            Task list:                                                                                                                                  method. 
               progress with therapy or discharge planning.                                                                                                                                       -to continue with upper limb sensory-motor retraining  with aim on increasing 
                                                                                                                                                                                                  regard to left upper limb and maintaining joint range 
               A form of internal standardisation was needed within the                                                                                                                           -to refer to community OT on discharge for above goals  
               team.                                                                                                                                                                                                                                                                                                                                     Acknowledgments   
                                                                                                                                                                                                                                                                                                                                                          
                                                                                                                                                                                                                                                                                                            ‘I like 
                                                                                                                                                                                                      ‘easier 
               The MDT need to, at a glance, understand the direction                                                                                                                                 to                                          ‘more                                                     the                                          - The G8 Multidisciplinary Team 
               in which the patient is moving for discharge planning.                                                                                                                                 follow’                                     detailed and                                              layout’                                      - A. Magpantay, OT 
                                                                                                                                                                                                                                                  up to date’