PAMELA JOY D. BOCALANurse Educator

King Khalid Hospital- Najran

Backgroun

d

History

MILITARY NUCLEAR SUBMARINE INDUSTRY

AVIATIONINDUSTRY

History

RAPID RESPONSE TEAM(Kaiser Permanente)

History

MICHAEL LEONARD, MD

Suzanne Graham

Present…

R

Worldwide

ComponentsThis tool has two documents:

SBAR Guidelines (“Guidelines for Communicating with Physicians/healthcare provider Using the SBAR Process”). Explains in detail how to implement the SBAR technique

SBAR Worksheet (“SBAR report to physician/healthcare provider about a critical situation”). A worksheet/script that a provider can use to organize information in preparation for communicating with a physician about a critically ill patient

When to Use SBAR

Urgent or non urgent communications

Nurse to doctor communications Doctor to doctor consultation Conversations with peers Change of shift report Rising a concern Discussions with allied health

professionals      - Respiratory therapy      - Physiotherapy -Dietician

Other Definitions

shift report - the transfer of information from one nurse to another about patients at change of shift in order to provide safe, quality patient care (Poletick & Holly, 2010)

• Other names may include: handoff report, nurse to nurse report, handover report and sign-off

● This method of handoff shift report has improved accountability and the critical thinking approach to events(Boaro et al., 2010).

● Use of the tool helps nurses to relay information in an objective and professional manner while increasing their ability to justify the recommendations chosen (Boaro et al., 2010).

○ Handoff communication becomes more comprehensive and decreases human error.

• The nurse spent less time writing information and more time providing patient care and critically thinking about the patient progression Cornell, Townsend-Gervis, Yates, & Vardaman, 2014).

● SBAR decreases the overall time nurses spent on shift report, indicating a more focused process of information transfer (Cornell, et al., 2014).

● SBAR levels the playing field for all nurses regardless of their level of experience (Cornell, et al., 2014).

● Implementation of an SBAR shift report tool resulted in:● greater focus and consistency of nursing shift reports

(Cornell et al., 2013).o increased nurse to nurse communication and decreased

amount of transcribing occurred when a print form of SBAR was provided.

o SBAR reduced adverse events and drug events (Haig, Sutton, & Whittington, 2006).

o SBAR decreases the amount of unexpected deaths (Meester, Verspuy, Monsieurs, & Van Bogaert, 2013).

REVIEW1. A nurse tells a doctor a patient has diabetes. Which part of the SBAR model is this statement?

A.SituationB.BackgroundC.AssessmentD.Recommendation

REVIEW2. The nurse tells the doctor a patient felt warm when she checked him for a fever of . What part of the SBAR model is this statement?

A. SituationB. BackgroundC. AssessmentD. Recommendation

REVIEW3. In which nurse interaction can the SBAR model be used?

A. Nurse to social workerB. Nurse to doctorC. Nurse to nurseD. All answers are correct.

Location: General Medical Ward Time: 0700 Sunday Morning

Jason Smith is a 26-year old man admitted to the medical ward as an outlier for observation following an assault. He has a traumatic brain injury. At 2200 last night he was drunk in the pub and was hit over the head with a chair. He lost consciousness for 5 minutes, but alcohol may have contributed to this. He was transported to ER where he was combative and uncooperative, but this was consistent with his high blood alcohol level. His Glasgow Coma Score is 14 (E = 4, M = 6, V = 4) A CT scan of his brain showed a small right-sided subdural haematoma. There was a shortage of beds in the hospital so the patient was sent to a medical ward for observation. Overnight he was looked after by a nurse who had worked in medicine for 15 years, but had never worked in an area receiving trauma patients. On the ward, the patient continued to be combative, but he eventually settled down and went to sleep. The night nurse went in and checked on him every half an hour. She recorded his RR, BP and pulse every half hour, but she couldn’t wake him up and she put this down to the alcohol. Recent V/S RR 75bpm,BP 100/70mmHg.

He was asleep at 0700 when the nurse handed over to the relieving day nurse