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SBAR Technique for Communication

SBAR Technique for Communication. Information obtained from Kaiser Permanente of Colorado Evergreen, Colorado. Guidelines for Communicating with Physicians and other Health C are Providers. Prior to Calling the Physician. Assess pt. Have all relevant information available

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SBAR Technique for Communication

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  1. SBAR Technique for Communication Information obtained from Kaiser Permanente of Colorado Evergreen, Colorado

  2. Guidelines for Communicating with Physicians and other Health Care Providers

  3. Prior to Calling the Physician • Assess pt. • Have all relevant information available • Discuss situation with supervising nurse • Know the admitting diagnosis, date of admission, and date of birth • Know pts. pharmacy and pharm. phone number • Read most recent progress notes or notes from clinician who last saw the pt.

  4. Prior to Calling the Physician • Have available the following when speaking with the physician: • List of current meds, allergies, IV fluids, and labs ordered/results • Most recent VS, Blood Sugar, Pulse Ox reading • DNR status

  5. Physician Preference Modalities • It is preferable to est. with the physician the best way to communicate with him/her prior to having to call due to change in pt. status • Wait no longer than 4 hrs between attempts (if the situation can wait that long).

  6. Physician Preference Modalities • Call Physician office • Call Physician’s call service • Direct page (if known) • Call Physician’s Cell Phone For life-threatening situations call 911 before calling physician

  7. SBAR PROCESS • (S) Situation: Describe the situation that you are calling to report • Identify yourself; your unit or home health agency, and the patient • Briefly state the problem; what it is; when it happened or started; how severe it is

  8. SBAR PROCESS • (B) Background: Give pertinent background information r/t the situation. Include: • Admitting date and dx. for home care, LTC, etc. DOB, any recent hospitalizations • List of currents meds, allergies, IV fluids, labs, tx. • Most recent VS • Lab results: provide date/time test was done • Other clinical informatin • DNR status

  9. SBAR PROCESS • (A) Assessment: relay the clinician’s assessment of the situation • (R) Recommendation: Recommend what action you would like the physician to take. • Change the level of care, frequency, duration • Request an extra PRN visit to do _______ (lab, follow up, assessment of lung status, etc.) • Change, add, delete a medication • Implement agency disease management protocol

  10. SBAR Process • Leave a call back number and contact name • Document the change in the patient’s condition and physician notification

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