CC04

Does your facility use SBAR? It can help with a general summary. Also, try to just think in a logical order--from head to toe when giving report. Here is a synopsis of SBAR off the internet. Maybe it will help :) SBAR was developed by Kaiser Permanente of Colorado, and has been increasingly adopted by hospitals through the United States. SBAR is used to report to a healthcare provider a situation that requires immediate action, to define the elements of a hand off of a patient from one caregiver to another, such as during transfers from one unit to another or during shift report, and in quality improvement reports. Liability issues may surround the communication that occurred in any clinical situation, but particularly when unexpected changes in a patient’s condition occur. It is often difficult to determine what the healthcare prescriber (physician, physician assistant, nurse practitioner) was told. An inexperienced or fatigued nurse may omit specific important information. One of the goals of SBAR is to provide a structure for such communication. The elements of SBAR are explained below and applied to contacting a prescriber. Situation: When calling a healthcare provider to report a change in the patient’s condition, the nurse identifies his or her name and unit, the name and room number of the patient, and the problem. The nurse describes what is happening at the present time that has warranted the SBAR communication. Situation: “Dr. Little, this is Maria Sanchez of 3 North. I am calling you to notify you that your patient, Liam Kelly, in Room 319-2, fell on the floor today while being transferred out of bed.” Background: The nurse includes relevant background information specific to the situation. For example, this could include the patient’s diagnosis, his mental status, current vital signs, complaints, pain level, and physical assessment findings. Background: “As you know, Mr. Kelly had a discectomy and bone fusion on January 17. His legs have been weak since surgery. He fell when our aide was helping him get up with a walker. His current vital signs are 145/90, pulse of 88 and respirations of 20. He is able to move all of his extremities, although he is complaining of pain in his incisional site of 7 on a scale from 1-10.” Assessment: This step of the communication provides the nurse with the opportunity to offer an analysis of the problem. If the situation is unclear, the nurse tries to isolate the problem to the body system that might be involved and describes the seriousness of the problem. This may be challenging for some nurses because many have been conditioned to hold back the results of their critical thinking skills. Some facilities use the assessment step to convey more extensive data about the patient, such as changes from prior assessments. Assessment: “I see no changes in his neurological status since he fell; neither of his legs is shortened and externally rotated. He is quite anxious now and also worried something his neck has been injured.” Recommendation: The nurse states what he or she thinks would help resolve the situation or what is the desired response. This might be phrased in the form of a question: “Do you think we should give him a medication, perform lab work, do an xray, perform cardiac monitoring, or transfer to another unit? Will you come to evaluate him?” Recommendation: “I believe it would reassure Mr. Kelly if you would examine him. When can we expect you to come?”

Hello, Can anyone give information regarding this type on interview style? I have read posts on this site about people failing this type of interview....can anyone elaborate on how you could fail this style or what that means in regards to failing it? Less/more interviewee talking? From what I have researched, it appears to be behavior based questions, which seem standard..?? Thanks

I have read numerous posts of people failing this type of interview style. Can anyone elaborate on how you would fail this? Is it reasonable to say that if you are asked a "silly" question and they are looking for "natural" responses, are folks dinged for laughing or adding extra information into the question besides just a simple answer, such as yes/no? Should the interviewee be very specific or more general to these questions? Less or more talkative? Thanks!