Date post: | 28-Jun-2015 |
Category: |
Health & Medicine |
Upload: | kathy-jones |
View: | 561 times |
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Communicating Effectively using SBAR
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Poor communication is cited
70-80% of medical errors
63% of sentinel events
Medical malpractice cases
Major safety violations
Patient injury/death
Loss of license
Loss of $$$$$
+ How do you prepare before calling a physician with an issue?
Preparation
• Have the patient’s chart open • Rehearse in your mind what you want to say • Think about the goal of your call • Determine the appropriate physician to call
• Run it by another nurse if you are unsure
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How can we communicate critical info more effectively?
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S B A R
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Situation
• Problem
Background
• Brief history, relevant context, what’s been going on with the patient that now has changed
Assessment
• What you think is going on
Recommendation
• What you want or what needs to be fixed
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Example: Your diaphoretic patient
Currently, the patient is diaphoretic, alert but disoriented. Blood sugar is 66
• Diabetic; admitted yesterday with hyperglycemia
• Home meds continued: Amaryl 2mg daily PO, Metformin 500 mg daily PO
• Previous assessments: • alert & oriented• vital signs stable• AM blood sugar was 128
+ Situation : Problem
• Dr. Lane, this is Kathy at Community Hospital IMCU. I am calling you about Mr. Smith. His current blood sugar is 66 and he is symptomatic.
Background: Brief history, relevant context, what’s been going on with the patient that now has changed
• He was admitted yesterday with hyperglycemia. All of his blood sugars have been over 150 until now. He is alert and I gave him a glass of orange juice. He responded to that with a blood sugar of 92.
• Assessment: What you think is going on
• He refused to eat very much. He also told me that he skips the Metformin at home because of the gi distress.
•Recommendation: What you want or what needs to be fixed
• Do you want to change his hypoglycemic dose or frequency?
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Accept the challenge to use SBAR
• It takes practice
• Stretch yourself and become a SBAR expert
+References
Greater Chicago 2013- Article: Building Collegial Nurse-Physician Relationships retrieved from: http://www.azhha.org/patient_safety/sbar.aspx
Video: “Strengthening Nurse Physician Relationships”