Presentation on theme: "SBAR Technique for Communication Information obtained from Kaiser Permanente of Colorado Evergreen, Colorado."— Presentation transcript:
SBAR Technique for Communication Information obtained from Kaiser Permanente of Colorado Evergreen, Colorado
Guidelines for Communicating with Physicians and other Health Care Providers
Prior to Calling the Physician Assess pt. Have all relevant information available Discuss situation with supervising nurse Know the admitting diagnosis, date of admission, and date of birth Know pts. pharmacy and pharm. phone number Read most recent progress notes or notes from clinician who last saw the pt.
Prior to Calling the Physician Have available the following when speaking with the physician: – List of current meds, allergies, IV fluids, and labs ordered/results – Most recent VS, Blood Sugar, Pulse Ox reading – DNR status
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. status Wait no longer than 4 hrs between attempts (if the situation can wait that long).
Physician Preference Modalities Call Physician office Call Physicians call service Direct page (if known) Call Physicians Cell Phone For life-threatening situations call 911 before calling physician
SBAR PROCESS (S) Situation: Describe the situation that you are calling to report – Identify yourself; your unit or home health agency, and the patient – Briefly state the problem; what it is; when it happened or started; how severe it is
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 hospitalizations – List of currents meds, allergies, IV fluids, labs, tx. – Most recent VS – Lab results: provide date/time test was done – Other clinical informatin – DNR status
SBAR PROCESS (A) Assessment: relay the clinicians assessment of the situation (R) Recommendation: Recommend what action you would like the physician to take. – Change the level of care, frequency, duration – Request an extra PRN visit to do _______ (lab, follow up, assessment of lung status, etc.) – Change, add, delete a medication – Implement agency disease management protocol
SBAR Process Leave a call back number and contact name Document the change in the patients condition and physician notification