Healthcare Communication Tools: Closed Loop, 2-Challenge, SBAR, Call-Out, Check-Back, Hand, Study Guides, Projects, Research of Communication

Download Healthcare Communication Tools: Closed Loop, 2-Challenge, SBAR, Call-Out, Check-Back, Hand and more Study Guides, Projects, Research Communication in PDF only on Docsity!

Communication Tools

• Closed Loop Communication
• Two-Challenge Rule
• CUS
• SBAR
• Call-Out
• Check-Back
• Handoff-”I Pass the Baton”

Closed Loop Communication

• 70—80% of medical errors are caused by

communication problems (Risk Management

Foundation).

• Effective teams prevent communication problems by

using closed looped communications.

• Each verbal communication is addressed to a specific

person by name and the person receiving the

communication repeats the message back to the

sender.

Two-Challenge Rule

When an initial assertion is ignored:

 It is your responsibility to assertively voice concern at least two

times to ensure it has been heard

 The team member being challenged must acknowledge

 If the outcome is still not acceptable:

 Take a stronger course of action.

 Use supervisor or chain of command.

Empowers all team members to " stop the line " if they sense or

discover an essential safety breach.

CUS

Call-Out

Strategy used to communicate important or critical information

 Informs all team members simultaneously during emergent

situations

 Helps team members anticipate next steps

 Important to direct responsibility to a specific individual

responsible for carrying out the task

 Example during an incoming trauma:

Leader: "Airway status?"

Resident: "Airway clear"

Leader: "Breath sounds?"

Resident: "Breath sounds decreased on right"

Leader: "Blood pressure?"

Nurse: "BP is 96/62"

Check-Back

 Process of using closed-loop communication to ensure that

information conveyed by the sender is understood by the

receiver as intended

 The steps include the following:

 Sender initiates the message

 Receiver accepts the message and provides feedback

 Sender double-checks to ensure that the message was received

 Example:

Nurse: “Apply 2 liters of oxygen via nasal cannula.”

Nursing Assistant: “2 liters oxygen via nasal cannula.”

Nurse: “Yes, that’s correct.”

Handoff-I Pass the Baton

I Introduction Introduce yourself and your role/job (include resident)

P Patient/Resident Name, identifiers, age, sex, location

A Assessment Relevant diagnoses and complaints, vital signs, symptoms

S Situation Current status (e.g., ADL status, intake/appetite, elimination, behavior, cognition), circumstances, including code status, level of uncertainty, recent changes, response to treatment S SAFETY Concerns

Critical lab values/reports, allergies, alerts (falls, isolation, etc.)

THE

B Background Other diagnoses, previous episodes, current medications, history

A Actions What actions were taken or are required? Provide brief rationale

T Timing Level of urgency and explicit timing and prioritization of actions

O Ownership Who is responsible (nurse/doctor/APRN/nursing assistant)? Include resident/family responsibilities N Next What will happen next? Anticipated changes? What is the plan? Are there contingency plans?