NURS 3234 Lecture Notes - Lecture 27: Telemedicine, History Of Nursing, Medical History
Document Summary
Communication: process of exchanging information, sbar: provides a framework for communication between health care team members regarding a patient"s condition. This approach fosters interprofessional collaboration and patient safety: situation, background, assessment, recommendation. Safety starts with me initiative: connecticut hospital association initiative, addressing communication issues that lead to health care errors, 1. Isbarq: adds introduction and questions/answers component to sbar identify themselves/roles, b = vital signs, mental/code status, medication list, lab & radiograph copies/reports, i = introduction of members of team involved in hand off of patient. Reports are at change-of-shift, when patients change locations, transfer to another: pay attention, ask an expert/mentor/leadership provider or location, or have a change or incident (unexpected problem, fall, accident) by telephone, telemedicine. What is documentation or charting: no priorities given. If your name is on it, you are responsible: legal record of care. Why: written, printed, or electronic submission of information as a record or proof of care.
