Communication
A framework for team members to effectively communicate information to one another.
What is SBAR?
A short planning meeting to help the team anticipate the steps that will unfold in their activity.
What is a Brief?
I'm Concerned, I'm Uncomfortable, This is a Safety Issue.
What is CUS?
A team outcome that results from each team member maintaining situation awareness and communicating to ensure that all team members are on the same page.
What is a Shared Mental Model?
A simple tool for assessing an individual's own safety status.
What is I’M SAFE?
This tool example looks like:
Provider: “Send for 2 units of packed RBCs STAT”
Nurse: “You want me to send for 2 units of packed RBCs STAT?”
Doctor: “Yes, that’s correct.”
Nurse: "I’ve requested 2 units of packed RBCs, and they will arrive in 10 minutes."
What is an example of Closed-Loop Communication?
Two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership.
What is the definition of a team?
An effective tool for resolving interpersonal conflict.
What is DESC?
Being watchful of all patients and processes, regardless of role or assignment.
What is Cross-Monitoring?
When the attending did not respond to the nurse’s request for “clarity” about a medication dose, she escalated her concern using CUS.
What is an example of the Two-Challenge Rule?
A transfer of information (along with authority and responsibility) during transitions in care across the continuum. It includes an opportunity to ask questions, clarify, and confirm.
What is a Handoff (or IPASS)?
What went well? What could be improved? What’s one thing we’re going to do different next time?
What are questions to ask in a Debrief?
A form of mutual support, team members protect each other from work overload situations by fostering a climate where it is expected that help be actively sought and offered.
What is Task Assistance?
I’M SAFE, Cross-Monitoring, STAR and STEP.
What are tools to support Situation Monitoring?
Failure to communicate clearly, establish a shared mental model and consistently follow policy.
What are the top 3 contributors to sentinel events?
Complete, clear, brief, timely and respectful.
What are the standards of effective communication?
An ad-hoc meeting to monitor or modify the plan.
What is a Huddle?
Appreciative, timely, respectful, specific, and focused on impact
What are characteristics of effective feedback?
The individual state of knowing what’s going on around you.
What is Situation Awareness?
"I think it feels really busy. I see you have a new order on your patient, and I wondered if you had a chance to see it yet?"
What is Cross-Monitoring? (Or the “I think, I see, I wonder” script?)
"Team, it's been 4 minutes since the last epinephrine dose."
What is an example of a Call-Out?
Any team member who has the skills to manage the situation at hand.
What is the Situational Leader?
“I need clarity” or “I am concerned”
What are examples of an Assertive Statement?
A four-step mnemonic tool used to develop the habit of “self-checking.”
What is STAR?
Hierarchy, fear of being wrong, inexperience, and fear of repercussions.
What are barriers to speaking up?