Presentation on theme: "SBAR Technique for Communication"— Presentation transcript:
1 SBAR Technique for Communication Information obtained from Kaiser Permanente of ColoradoEvergreen, Colorado
2 Guidelines for Communicating with Physicians and other Health Care Providers
3 Prior to Calling the Physician Assess pt.Have all relevant information availableDiscuss situation with supervising nurseKnow the admitting diagnosis, date of admission, and date of birthKnow pts. pharmacy and pharm. phone numberRead most recent progress notes or notes from clinician who last saw the pt.
4 Prior to Calling the Physician Have available the following when speaking with the physician:List of current meds, allergies, IV fluids, and labs ordered/resultsMost recent VS, Blood Sugar, Pulse Ox readingDNR status
5 Physician Preference Modalities It is preferable to est. with the physician the best way to communicate with him/her prior to having to call due to change in pt. statusWait no longer than 4 hrs between attempts (if the situation can wait that long).
7 SBAR PROCESS(S) Situation: Describe the situation that you are calling to reportIdentify yourself; your unit or home health agency, and the patientBriefly state the problem; what it is; when it happened or started; how severe it is
8 SBAR PROCESS(B) Background: Give pertinent background information r/t the situation. Include:Admitting date and dx. for home care, LTC, etc.DOB, any recent hospitalizationsList of currents meds, allergies, IV fluids, labs, tx.Most recent VSLab results: provide date/time test was doneOther clinical informatinDNR status
9 SBAR PROCESS(A) Assessment: relay the clinician’s assessment of the situation(R) Recommendation: Recommend what action you would like the physician to take.Change the level of care, frequency, durationRequest an extra PRN visit to do _______ (lab, follow up, assessment of lung status, etc.)Change, add, delete a medicationImplement agency disease management protocol
10 SBAR Process Leave a call back number and contact name Document the change in the patient’s condition and physician notification