Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Instructions

Instructions

  • This is a tool to allow observers to give feedback to colleagues on their use of the SBAR model structured communication in patient handover.

  • SBAR Reporting

    aucune étiquette

Patient Handover/ Information Gathering

  • Assesses the patient using an ABCDE approach

  • Checks the admitting diagnosis

  • Has appropriate documentation (e.g. Nursing, medical records, EWS chart, Drug chart, Observation chart, IV fluids, resuscitation status)

  • Collects the patient's vital signs pre and post treatment and takes relevant notes to the phone

  • On making the phone call states " This is an SBAR call"

Escalation Handover call - 'S' for Situation

  • Gives own name, role and ward

  • Identifies patient for handover

  • Explains reason for calling and headlines any concerns

Escalation Handover Call - 'B' for Background

  • Gives admitting diagnosis and date

  • Provides relevant medical history

  • Reports any changes in patient condition and gives time frame

  • Gives a brief summary of treatment to date

Escalation Handover Call - 'A' for Assessment

  • Says clearly what he/she thinks the problem is

  • Gives all relevant details of Airway, Breathing, Circulation, Disability, Exposure, EWS (ABCDE )

Escalation Handover Call - 'R' for Recommendation & Review

  • States clearly the request (e.g. "I need you to come now")

  • Checks that receiver has understood details of call

  • Determines timescale for review and records name of receiver

  • Is assertive. (e.g. if timescale for review is too long asks insists on urgency or for alternative contact)

  • Asks if something should be done now while waiting for review/help

Overall Rating of Handover

  • Taking completeness, structure and clarity of English expression this handover was:

  • Add Comments

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