Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Introduction Who, what and where you are and why are you calling also is this a good time to talk? Situation What is happening now. “The situation is….” Background What led to the situation. “By way of background…” Assessment What you consider the problem is. “My assessment is” or “I assess….” Recommendation What should we do to correct the problem. “I recommend…..”

Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Introduction Who, what and where you are and why are you calling Establish you are talking to the right person and that it is convenient to have the conversation at that time (or, where necessary, that the conversation must take place now for a pressing reason) “Hi Rob, its Mel on ward H3 calling about a patient transfer to radiology, do you have a moment?

Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Situation Give the situation as of now, including key information such as patient’s age and gender, and current status “The situation is that I have a patient, Mrs X, in bed 1 who needs to go to x-ray in ½ an hour”

Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Background Give the relevant background details such as presenting factors and complications “Mrs X has a background of MRSA and needs to go to x-ray in her bed”

Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Assessment What do you consider is going on “On assessment Mrs X is unstable and will be escorted to x-ray with a nurse” “Also she will need to be transported with oxygen” “Mrs X is a bariatric patient”

Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Recommendation Be clear about your recommendation “I recommend you bring the gazunder, you will need gloves and a plastic apron which are available outside her room. “I have the portable oxygen cylinder here” “Do you want me to remind you in 20 minutes?”