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5Communication
CT5 MS1
| Question | Answer |
|---|---|
| 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
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