communication in healthcare
DESCRIPTION
Communication in Healthcare. Presented by Samantha Nziengui. Introduction. What is communication Importance of communication in healthcare. Significance. Improved communication during shift report can help catch potential medical errors ( IOM, 2009). SBAR. Clinical Proposal. - PowerPoint PPT PresentationTRANSCRIPT
Communication in Healthcare
Presented by Samantha Nziengui
Introduction
What is communication
Importance of communication in healthcare
Significance
Improved communication during shift report can help catch potential medical errors ( IOM, 2009).
SBAR
Clinical Proposal
Tool :KardexTarget population:
Healthcare providersHealthcare setting
Description of the ToolKardex divided into 4
sections
1st section patient history:
patient name, age, gestational age, gravity/parity, gestational age, due date, primary physician, home medications, allergies.
History
Exams
Labs
Procedure/Plan of care
2nd section Exams: current findings vitals signs, vaginal exams,
any bleeding, physical assessment.
3rd section Labs: Patient’s current lab results: blood type,
group beta strep status, RPR, HIV, HepBsag, Rubella, CBC,
Description of the Tool
ToolHistory (Present Status)
Exams (Pertinent Findings)
Labs Plan of Care
Mrs.--------------------is a ------y.o. G……P…….Patient of Drs.----------------/---------------□ GA---------EDD---------□ Elective□ Indicated---------□ Forceps □Vacuum—□ VBACx----□ BTL yes----no□ Language---------
Home medications□ PNV----------------------□ Iron-------------------------□ Insulin------------------------□ BP---------------------------□ Antibiotics------------------------□ Others-----------------------------
T--------P-------R--------BP-----/-----Vag exam□ NKDA□ Allergies (item/reaction)---------------/-----------------------------/---------------
Blood HbsAg--------Rubella--------HIV--------RPR------GBS---------□ treated x -----Admission Labs□ T&S□ RPR□ CBC□ Walk in labs□ Rapid HIV
Delivered □Vaginal □ C-sectionThe-----------at---------Meds Given in L&D□ Toradol 1st dose time---------□ Ancef-------------------------□ Motrin---------------□ Tylenol---------------------□ Percocet------------------□ Bebadryl----------------□ Others----------------------------
ExamsAble to void x ------FoleyEpisiotomyLaceration-----------deg-------Dressing Dry and IntactLochia WNLDiet------------------
Mother/Baby Plan of care Skin to Skin yes noBreastfeeding time-----Left breast:------------Right breast:----------Stool: yes noVoid: yes no
Baby□ Male□ Female Weight-----□ Twins (Time/Weight)A--------/--------M/FB--------/--------M/F□Breast □Bottle□ Circumcision □ HepB Vac□Vitamin K□ Erythromycin
Prenatal Records □Yes □ No□SROM □ AROM □PROM Time:Complications □Yes □ No□GDM □ PIH □Anemia □PPH□PTL □Seizure □Meconium□Febrile □ Other---------------
Room Name Age OB Ped
HELP Report/Postpartum Care Kardex
long term goals Enhance nurses autonomy while providing
patients care Decrease patient safety risks due to errors, short terms goals Empower nurses on patients’ advocacy Provide effective patient care by reducing
errors related to miscommunication
After the implementation of the tool, nurses on the unit will be able to:
Identified the importance of effective communication during shift report
Describe the importance of quality exchange information when handing over patient care
Cite the benefits of using the new communication tool during shift report.
EvaluationMonthly staff
meeting1. Survey
questionnaire: rate the effectiveness of the tool from 1 to 10
2. How helpful is the
3. tool related to your work? Please rate the quality of the tool.
Chapman, K. (2009). Improving Communication Among Nurses, and Physicians. AJN retrieved April 29th, 2013 from http://www.nursingcenter.com/pdf.asp?AID=940556.
Curtis, K., Tzannes, A., & Rudge, T. (2011). How to talk
to doctors - a guide for effective communication. International Nursing Review, 58(1), 13-20.
Evans, D., Grunawait, J., McClish, D., Wood, W., &
Friese, C. R. (2012). Bedside Shift-to-Shift Nursing Report: Implementation and Outcomes. MEDSURG Nursing, 21(5), 281-292.
REFERENCES
Christian, K., Haight, T. (2009). Improving communication using a cancer treatment schedule tool. Oncology Nursing Forum, 36(3), 15.
Jefferies, D.(2012). Communicate with clarity. Nursing Standard, 26(40), 62-63.
Middaugh, D. J. (2013). Signal-to-Noise Ratio: Filtering Out Ineffective Communication. Medsurg Nursing, 22(4), 262-264.
REFERENCES
Institute of Medicine (2009) To Err Is Human: Building a Safer Health System, retrieved 10/30/13 from http://www.justice.org/cps/rde/justice/hs.xsl/8677.htm
The Joint Commission (2007) Sentinel Event statistic retrieved 10/30/13 from http://www.jointcommission.org/assets/1/18/General_Information_1995-2Q2013.pdf
References