Discussion: Analyzes the root causes of sentinel or critical events

Discussion: Analyzes the root causes of sentinel or critical events ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Analyzes the root causes of sentinel or critical events Review the SBAR description and sample in the attachment. Select a case study (posted under week 2) and write a SBAR nursing note using the TEMPLATE provided. Make sure to address each element properly (what does under S, versus B, versus A, versus R). case_studies_for_discussionsassignments__all_term_20200409.zip sbar_description__1_.docx sbar_template__1_.doc SBAR COMMUNICATION SBAR Communication Worksheet Patient Initials: ______________ Patient Date of Birth: _______________ Room Number _______________ Date: _________________ Time: ________________ Location: _____________________________________ S ituation: Briefly describe the current situation. Give a clear, succinct overview of pertinent issues : ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ B ackground: Briefly state the pertinent history. What got us to this point?: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ A ssessment: Summarize the facts and give your best assessment. What is going on? Use your best judgement: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ R ecommendation: What actions are you asking for? What do you want to happen next? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SBAR COMMUNICATION SBAR Communication Worksheet Patient Initials: ______________ Patient Date of Birth: _______________ Room Number _______________ Date: _________________ Time: ________________ Location: _____________________________________ S ituation: Briefly describe the current situation. Give a clear, succinct overview of pertinent issues : ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ B ackground: Briefly state the pertinent history. What got us to this point?: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ A ssessment: Summarize the facts and give your best assessment. What is going on? Use your best judgement: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ R ecommendation: What actions are you asking for? What do you want to happen next? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SBAR COMMUNICATION What causes medical errors? The Joint Commission, which accredits the majority of hospitals in this country and some nursing homes and other facilities, analyzes the root causes of sentinel or critical events. Miscommunication is the most common cause of patient injury or death. SBAR (Pronounced S-Bar) is a formalized method of communicating with other healthcare practitioners that is sweeping the country. Its use is spreading within hospitals, and may soon become so commonplace that it will be recognized as close to, if not a standard of care. SBAR (pronounced S-BAR) is a formal, standardized communication tool used to report between healthcare providers a situation that requires action, hand off of a patient during transfers or shift reports, and in quality improvement reports. SBAR stands for: Situation, Background, Assessment and Recommendations. The elements of SBAR are explained below and applied to contacting a prescriber. Situation: When calling a healthcare provider to report a change in the patient’s condition, the nurse identifies his or her name and unit, the name and room number of the patient, and the problem. The nurse describes what is happening at the present time that has warranted the SBAR communication. “Dr. Little, this is Nurse Nice of 3 North. I am calling you to notify you that your patient, Mr Brittle, in Room 319-2, fell on the floor today while being transferred out of bed.” Background: The nurse includes relevant background information specific to the situation. For example, this could include the patient’s diagnosis, his mental status, current vital signs, complaints, pain level, and physical assessment find. “As you know, Mr. Brittle had a discectomy and bone fusion on January 17. His legs have been weak since surgery. He fell when our aide was helping him get up with a walker. His current vital signs are 145/90, pulse of 88 and respirations of 20. He is able to move all of his extremities, although he is complaining of pain in his incisional site of 7 on a scale from 1-10.” Assessment: This step of the communication provides the nurse with the opportunity to offer an analysis of the problem. If the situation is unclear, the nurse tries to isolate the problem to the body system that might be involved and describes the seriousness of the problem. This may be challenging for some nurses because many have been conditioned to hold back the results of their critical thinking skills. Some facilities use the assessment step to convey more extensive data about the patient, such as changes from prior assessments. “I see no changes in his neurological status since he fell; neither of his legs is shortened and externally rotated. He is quite anxious now and also worried something his neck has been injured.” Recommendation: The nurse states what he or she thinks would help resolve the situation or what is the desired response. This might be phrased in the form of a question: “Do you think we should give him a medication, perform lab work, do an xray, perform cardiac monitoring, or transfer to another unit? Will you come to evaluate him? I believe it would reassure Mr. Brittle if you would examine him. When can we expect you to come?” SBAR Communication Worksheet Patient Initials: ______________ Patient Date of Birth: _______________ Room Number _______________ Date: _________________ Time: ________________ Location: _____________________________________ Situation: Briefly describe the current situation.Discussion: Analyzes the root causes of sentinel or critical events Give a clear, succinct overview of pertinent issues : _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________ B ackground: Briefly state the pertinent history. What got us to this point?: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________ A ssessment: Summarize the facts and give your best assessment. What is going on? Use your best judgement: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________ R ecommendation: What actions are you asking for? What do you want to happen next? _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________ SBAR COMMUNICATION SBAR Communication Worksheet Patient Initials: ______________ Patient Date of Birth: _______________ Room Number _______________ Date: _________________ Time: ________________ Location: _____________________________________ Situation: Briefly describe the current situation. Give a clear, succinct overview of pertinent issues : _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________ Discussion: Analyzes the root causes of sentinel or critical events B ackground: Briefly state the pertinent history. What got us to this point?: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________ A ssessment: Summarize the facts and give your best assessment. What is going on? Use your best judgement: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________ R ecommendation: What actions are you asking for? What do you want to happen next? _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________ … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10