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4Cs of Communication Clear, Concise, Correct, Complete
purpose of effective communication promote pt safety care because JointCommision has standardized approach/questions and there is a big difference to the focus of communication of each healthcare workers
What is SBAR? S*ituation-punch line in 5-10sec B*ackground-objdate, what happened to pt A*ssessment-problem, focus of communication R*ecommendation-what is needed to be done
what is communication? open, direct, continuous and mutltidirectional nonhierarcheal, must be respectful
Effective Team Communication all members have responsibility to speak up and an obligation to listen; 'near misses' and 'good catches' are reported/identified; everybody's on the lookout for pt safety
'S'ituation intro: yourname,hosp/unit, pt name/room no. what is happening at the present time/the problem *be organized, structured, crisp, clear; use critical language (chart, labs, dx on hand)
'B'ackground brief explanation of the situation; pertinent medHx, synopsis of treatment to date *know that person talking to dont have enough info or none at all
'A'ssessment VS, O2 status, changes from prior assessments, severity of problem; conclusion about present situation
'R'ecommendations/Requests state what you think would be helpful or needs to be done, keep in mind suggestions may not always be taken *read back orders to verify for pt safety, never assume you had the same idea
Assertiveness with Recommendations must have ability to speak up-keywords, sense of persistent with respect: get person attention, be clear concise direct; express concern (Im concern/uncomfortable/need clarity) *focus on pt safety
What does SBAR do? enhances predictability of how healthcare workers talk to each other, fosters critical thinking, saves time, helps staff be the pt advocate, prevents communication failure
SBAR example S-name, Im calling about Mr.Drape. increasingly SOB B-73yr man with COPD, CHF, admitted yesterday and getting progressively worse A-RR>> with inspiratory crackles. Pulsax 86-90% RA. I think might be going into pulmoedema R-would you like to order...
Why do communication errors occur? accents, dialects, pronunciation; bg noise, interruptions; unfamiliar terms
ways to prevent communication errors read back orders, verify/repeat; DONT assume, use appropriate abbreviations/terms per P&P, write down orders
situations to use SBAR nurse-nurse; nurse-MD; nurse-UAP; shift to shift report
Created by: sarahjqs