sbar pp

SBARR

Harriet R. Sullivan-Bibee RN, BSN

NU 101

June 26, 2012

Objectives1) Describe the meaning of SBARR

2) Discuss why SBARR is needed

3) Describe the SBARR process

4) Become familiar with the SBARR tool

Data “Communication errors are the root cause of almost 70% of sentinel events, and 75% of the patients involved died,” (Rodgers, 2007).

HAND OFF REPORT

-Clinician to Physician

-Clinician to clinician

When does it happen?

Ineffective communication

6 Principles for error free communication

1. Communicate interactively

2. Communicate up-to-date information

3. Limit interruptions

4. Allow sufficient time to complete the hand-off.

5. Require a verification process

6. Ensure the receiver of information has the opportunity to review relevant historical data

“SBAR is a communication format, which was initially developed by the military and refined by the aviation industry to reduce the risks associated with the transmission of inaccurate and incomplete information”,(Rodgers, 2007).

The beginning of SBAR

What does SBARR stand for:

S-Situation

B-Background

A-Assessment

R-Recommendation

R-Read back

SBARR Tool

Be ready Name Medical record number Age Diagnosis Medication list Allergies Vital signs Lab results Advance Directive

Did you? Have I seen and assessed the patient myself before calling?Review the chart for appropriate physician to call.

SITUATION

Identify self, agency, and patient name

What is going on with the patient that is a cause for concern. A concise statement of the problem

BACKGROUNDAdmitting diagnosis and date of admission List of current medications, allergies, IV fluids, etc. Most recent vital signs Lab results: provide the date and time test was done and results of previous tests for comparison Medical historyRecent clinical findings Advance Directive/code status

Assessment

What are the clinician’s findings? What is the analysis and

consideration of options? Is this problem severe or life

threatening?

Recommendation What action/recommendation is needed to

correct the problem? What solution can you offer the physician? What do you need from the physician to

improve the patient’s condition? In what time frame do you expect this

action to take place?

Readback Confirm what you heard.Repeat what is ordered by the physician.Reduces errors.

CommunicationBetween nurse

and physician/nurse

Being clear with

expectations and

recommendations

Not being direct.

Wrong medication/

wrong procedure

Sentinel event with poor patient

outcomes

Standard of care Safety and Quality

Provides safe care with good outcomes

Saves time. Physicians and nurses are less

frustrated.

Video

Conclusion

Being concise and accurate with the information regarding our patients is essential to positive outcomes. Using SBARR will improve the communication between nurses and physicians.

For more information please feel free to contact me at:

Harriet R. Sullivan-Bibee, B.S.N., R.N.

Kaplan UniversityHarriet Sullivan-

Bibee@student.kaplan.edu

References(2007). Nursing Education Perspectives SBAR for students. 28 (6), p306-306,

1/3p; (AN27779598)

Delmarva foundation and the Maryland Patient safety center.(2007). Handoffs &

Transitions Learning Network. Retrieved from

http://www.marylandpatientsafety.org/html/learning_netwok/hts

/materials/resources/handoffs/HandoffsStrategiesChartpdf

Rodgers, K.L. (2007).Using the SBAR communication technique to improve

nurse-physician phone communication: A pilot study. Viewpoint, 7-9.

Montgomery Learning college (nd). SBAR. Retrieved from

http://warfieldgraphics.com/CLIENTS/SBAR/SBAR%20Worksheet

%20Kaiser%20ermanente.pdf

Ohio Kepra (nd). Medicare quality improvement organization. SBAR

communication. Retrieved from

www.snjourney.com/ClinicalInfo/WrAndReport/SBAR.ppt

The Toronto Rehab (2010). No SBAR: Ineffective communication. Retrieved from

http://www.youtube.com/watch?v=CtdNQfKg8&feature=relmfu

The Toronto Rehab (2010). SBAR: Effective communication. Retrieved from

http://www.youtube.com/watch?feature=endscreen&NR=1&v=fsaEArBy2g