CT5 MS1
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Help!
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| 4Cs of Communication | Clear, Concise, Correct, Complete
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| 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
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| 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
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| what is communication? | open, direct, continuous and mutltidirectional
nonhierarcheal, must be respectful
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| 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
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| '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)
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| '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
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| 'A'ssessment | VS, O2 status, changes from prior assessments, severity of problem; conclusion about present situation
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| '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
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| 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
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| 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
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| 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...
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| Why do communication errors occur? | accents, dialects, pronunciation; bg noise, interruptions; unfamiliar terms
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| ways to prevent communication errors | read back orders, verify/repeat; DONT assume, use appropriate abbreviations/terms per P&P, write down orders
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| situations to use SBAR | nurse-nurse; nurse-MD; nurse-UAP; shift to shift report
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