An Innovative Approach to SBAR Communication. Jennifer Bello BSN, RN, C White Plains Hospital Center
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1 An Innovative Approach to SBAR Communication Jennifer Bello BSN, RN, C White Plains Hospital Center
2 Presenter Disclosure Information Jennifer Bello, RN An Innovative Approach to SBAR Communication Registered Nurse at White Plains Hospital Center
3 Learning Objectives You will be able to discuss the importance of having a standardized communication tool for reporting patient information You will be able to describe SBAR and organize patient information according to its systematic outline for patient safety You will be able to identify different forms of communication that occur during a patient s hospital stay
4 White Plains Hospital Center
5 Just a thought How many times during a typical day, does patient information get communicated and relayed?
6 Why is communication so important?
7 Research Has Shown Miscommunication is the most common cause of patient Injury or Death
8 Joint Commission Requirement National Patient Safety Goal 2: To improve the effectiveness of communication among caregivers
9 NPSG The hospital implements a standardized approach to hand-off communications, including an opportunity to ask and respond to questions
10 Elements of Performance NPSG Interactive communication that allows for the opportunity for questioning between the giver and receiver of patient information Up-to-date information regarding the patient s care, treatment, medications, services, and any recent or anticipated changes
11 Elements of Performance NPSG A method to verify the received information An opportunity for the receiver of the hand-off information to review relevant patient historical data Interruption during hand-offs are limited to minimize the possibility that information fails to be conveyed or is forgotten
12 How can we meet these requirements? SBAR Comprehensive Standardized Interdisciplinary Effective
13 Where did SBAR originate? SBAR was originally developed by the US Navy It was used as a communication technique on nuclear submarines
14 What does SBAR mean? S - Situation B - Background A - Assessment R -Recommendation
15 Why does SBAR work in Healthcare? Nurses are trained to be narrative and descriptive in their communication Physicians are trained to be action-oriented, focusing on the main subject matter SBAR provides a standardized way to communicate important information Nadzam, D.,(2009) Nurses role in communication and patient safety. Journal of nursing care and quality V 24 (3). p
16 Innovative Approach to SBAR Electronic SBAR Tool Created Eliminates: - Redundant documentation - Having to toggle between screens Enhances: - Interdisciplinary Communication - Patient Hand-Off Accuracy
17 How does it work? Pulls in Query Data documented by the clinical user Parameters are set to ensure only up-to-date information is conveyed Critical information is set to remain for the patient s entire stay
18 Situation Patient Information Admitting Diagnosis Allergies Surgical or Special Procedures Precautions/Occurrences
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22 Background Past Medical/Surgical History pulled from the Admission Database Family contact information Emergency room medications
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25 Assessment Vital Signs PACU Record Head to Toe Assessment PM&R Wound Care Notes
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27 Recommendations Physical Therapy Discharge Planning Skin Clinician Nutritionist Active Medications and Last Administration Time
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29 Sounds too good to be true
30 How did we implement this? Formed a Communication Task Force Enlisted our IT Department Rounded on the staff morning and night Adapted a Famous Slogan Handoff Runs on SBAR Chocolate, Chocolate and more Chocolate!
31 Where are we now? Editing and Revising Hardwiring Training other Departments- Special Procedures, Nuclear Medicine
32 Questions?
33
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