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This presentation describes the use of the SBAR tool. This SBAR tool was developed by Kaiser Permanente. Please feel free to sue and reproduce these materials in the spirit of patient safely, and ...

This presentation describes the use of the SBAR tool. This SBAR tool was developed by Kaiser Permanente. Please feel free to sue and reproduce these materials in the spirit of patient safely, and please retain this footer in the spirit of appropriate recognition.

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    SBAR presentation SBAR presentation Presentation Transcript

    • Using SBAR A Culture of Patient Safety
      • Situation
      • Background
      • Assessment
      • Recommendation
      This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safely, and please retain this footer in the spirit of appropriate recognition.
    • Guidelines for Communicating with Physicians Using SBAR
      Contact the physician according to physician preference
      Wait no longer than 5 minutes between attempts
      Use all modalities before you assume the physician is not responding
      In emergent situations, use your health care facility’s emergency protocol (resident service, rapid response team)
    • Prior to Calling the Physician
      Have I seen & assessed the patient myself before calling?
      Has the situation been discussed with resource nurse?
      Review the chart for appropriate physician to call.
      Know the admitting diagnosis and date of admission.
      Read the most recent MD and nurse progress notes.
      Have available the following when speaking with the MD:
      -Patient’s chart
      -List of current medications, allergies, IV fluids, and labs
      -Most recent vital signs
      - Code status
    • SBAR Process - Situation
      What is the situation you are calling about?
      Identify self, unit, patient, room number.
      Briefly state the problem
      what is it
      when it happened or started
      how severe
    • SBAR Process - Background
      The admitting diagnosis and date of admission
      List of current medications, allergies, IV fluids, and labs
      Most recent vital signs
      Lab results: provide the date and time test was done and results of previous tests for comparison
      Other clinical information
      Code status
    • SBAR Process - Assessment
      What is the nurse’s assessment of the situation
    • SBAR Process - Recommendation
      What is the nurse’s recommendation or what does he/she want?
      Examples:
      Notification that patient has been admitted
      Patient needs to be seen now
      Order change
      Document the change in the patient’s condition and physician notification.
    • Example
      Situation
      Background
      Assessment
      Recommendation
      This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safely, and please retain this footer in the spirit of appropriate recognition.
      http://picasaweb.google.com/lh/photo/pFBcRy8QaANxrFtmmMb89g