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Title:

Communication ????

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Title: Medical Drill Author: Frank Lu Last modified by: chienming Created Date: 6/15/2006 12:16:57 AM Document presentation format: (4:3) – PowerPoint PPT presentation

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Title: Communication ????


1
??????????
  • Communication ????

2
????????
3
????
  • ??????????
  • ?????????????
  • ?????????????
  • ???? (check back)
  • ???? (Call out)
  • ????????????
  • ????????? SBAR

4
?????????????(???20052010??????,?????)
43
?????????????
???????
5
?????????????(???20052010??????,?????)
  • ???????????????

6
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  • ???????????????
  • ??????????????
  • ???????????
  • ???????????????

7
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  • ????????
  • ??????
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  • ???????????
  • ?????????

8
??
???
??
???
??
? ???????? ? ????
Assumptions Fatigue Distractions HIPAA
9
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???? -???????
??
??
??
TeamSTEPPS
10
???????????????
  • ????(check back)
  • ???? VS ????
  • ???? (Call out)????????????
  • ????????? SBAR

11
??????????
  • ????
  • ????
  • ????
  • ??
  • ????
  • ??????
  • ????

12
????????? SBAR
  • ?? (Situation) ????????
  • ?? (Background)??????
  • ?? (Assessment)????????
  • ??/?? (Recommendation/Request)???????????

SBAR????????????????
13
???? (Assertiveness)
  • ?????????
  • ????
  • ????
  • ????
  • ??????
  • ????????????

??????! Call out!
14
Scenario ??62???????????????
  • ??T??????????
  • ????????
  • ??
  • ?XX????
  • ?XX???????
  • ?XX ????

15
???
  • Nurse ? ???, C08 sepsis????????,??????????
  • Dr? ????????? C08 BP??????,????cancer
    terminal?.??????????,??sign DNR!???CPR,????????!
  • (Nurse ??????? Nurse ?)

16
  • Nurse? ??,C08 sepsis????????,??????,????????,???
    ???????
  • Nurse? ???check vital signs?????
  • Nurse? ??????BP??????!
  • Nurse?????C08,??C08??????????.
  • Nurse??? C08 CPR!

17
  • ??????????
  • ????
  • ????
  • ??????
  • ?????? epinephrine

30???,????????
18
??TRM?,????????,??????
  • ??Nurse?,??????
  • ??Dr?,??????
  • ??Nurse?,??????

?????!
19
???????
  • ????
  • ??
  • ????
  • ????
  • ????
  • ???????
  • ??
  • ?????????
  • ????

GreatOpportunity for Quality and Safety
20
????
Brief Huddle Debrief STEP IM SAFE Cross
Monitoring
  • ??
  • ??????
  • ??
  • ??
  • ????
  • ??
  • ????
  • ????!
  • ??
  • ????
  • ???????
  • ????
  • ??
  • ??
  • ??
  • ????
  • ??
  • ???????
  • ??????
  • ????
  • ????

?????
Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS
Self-Awareness
DESC Script
Collaboration
Call out
Check back
SBAR
21
????
  • ???????
  • ??,??,?????
  • ???????????
  • ???? (check back)
  • ???? (Call out)????????????
  • ????????? SBAR
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