SBARCommunication

Workshop

Liz LeesFaculty Research Fellow and Consultant Nurse

The Clinical Environment can be extremely complicated

SurprisesUncertaintyIncomplete informationInterruptions and multitasking

The Clinical Environment can be extremely complicated

SurprisesUncertaintyIncomplete informationInterruptions and multitasking

Causes of Poor Causes of Poor communicationcommunication

SBARSBAR – What is it? – What is it?

Situation

Background

Assessment

Recommendation

Situation

Background

Assessment

Recommendation

SBAR was introduced by the US Navy

Simple &

Effective

Simple &

Effective

SBAR technique provides a framework for effective SBAR technique provides a framework for effective communication among members of the healthcare communication among members of the healthcare teamteam

SBAR helps to create an environment that allows individuals to speak and express their concerns

It helps to ensure that patient’s get what they need when they need it.

SBAR technique provides a framework for effective SBAR technique provides a framework for effective communication among members of the healthcare communication among members of the healthcare teamteam

SBAR helps to create an environment that allows individuals to speak and express their concerns

It helps to ensure that patient’s get what they need when they need it.

S B A RS B A RS B A RS B A R

Situation: the punch line, 5-10 seconds, get someone’s attention

Background: the context, objective data, the numbers, how did we get here

Assessment: what’s the problem?

Recommendation: What do we want to do and when

Situation: the punch line, 5-10 seconds, get someone’s attention

Background: the context, objective data, the numbers, how did we get here

Assessment: what’s the problem?

Recommendation: What do we want to do and when

So What is SBAR?So What is SBAR?So What is SBAR?So What is SBAR?

SBARSBARSITUATION

I am calling about…..

The problem is…… I have assessed the following…….

Vital signs are…….. MEWS Score is…….. I am concerned about……..

BACKGROUND

The patient has a history of…….

The skin is……. Extremities are…. Oxygen therapy……. BP is ……

SBARSBARASSESSMENT

This is what I think the problem is…..

OR Im not sure what the problem is but the patient is getting worse

OR The patient is unstable

RECOMMENDATION

I suggest/request that you………….

Are there any tests needed before you arrive?

Would you like me to do anything before you arrive?

SBARSBAR

SBAR is also used at Heartlands Hospital for the Transfer of Patients (checklist).

It is meant to standardize the information being sent with the patient.

The transfer form is used over the phone – before the patient arrives so that the nurse can check information about the patient.

It is also kept in the patients notes.

Can you come and Can you come and see…see…

Can you come and Can you come and see…see…

Workshop Exercises:

1

2

ConsiderConsider

What information are we giving out

What information are we taking in

How can we get the right patient seen by the right person at the right time??

Communication…