Reporting

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Reporting
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Communicate

• To convey information to one and other.

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Reporting using SBAR

• Recommended by RN representatives at off-load
  discussions.
• Representation at discussions include hospital
  staff, PRPS Management and SOCPC Management

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Patient Safety and Communication

• Communication breakdowns can cause errors to be
  made or serious problems to be missed
• Communicating in a similar manner as other
  members of the health care team is important
• Organized methods for reporting patient
  information helps to reduce errors

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SBAR

• S Situation Describe the situation in one
  sentence
• B Background State details of the situation
  that you have found out
• A Assessment Tell the other health care team
  member what your assessment is and what you think
  should be done
• R Recommendation What method you would use to
  solve the problem

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Practice

• You are caring for your patient while you wait
  for a room. The patient begins to deteriorate.
  How could SBAR be used to communicate your
  concerns to the triage nurse?

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SBAR

• S Nurse my patient is having chest pain.
• B The patient called us for chest pain, we gave
  3 doses of NTG prior to arrival at hospital and
  the pain resolved. The pain returned 25 minutes
  ago. We have given an additional 3 doses while
  waiting and the pain has not changed.

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SBAR

• A We have done a 12 lead and notice some ST
  elevation in leads 2, 3 and aVF. As PCPs we are
  only able to give more Nitro, once we have given
  6 doses our directive is complete.
• R Is there any way that our patient could be
  off-loaded so they can be further assessed?

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How SBAR works

• Both people have the same knowledge about the
  problem and can work together to find a solution
• The listener gets information from you that they
  would need to ask
• Time is saved because you have already researched
  options to solve the problem
• Giving a recommendation helps begin a productive
  discussion to solve the problem

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