Module 5 Flashcards
(14 cards)
SBAR
Situation: Briefly describe a overview of the situation
Background: Pertinent history, what got us to this point
Assessment: Facts, what is going on
Recommendation: What’s next
ISBAR
Identify: NOD
Situation: Briefly describe a overview of the situation
Background: Pertinent history, what got us to this point
Assessment: Facts, what is going on
Recommendation: What’s next
I PASS the BATON
INTRODUCE - yourself and your role/job.
PATIENT - name, identifiers, age, sex, location
ASSESSMENT - chief concern, vital signs, symptoms
SITUATION - status, changes, response to treatment
SAFETY - lab values, reports, allergies, socioeconomic
BACKGROUND - comorbidities, medications, history
ACTIONS - explain actions taken, provide rationale
TIMING - level of urgency, explicit timing, prioritization
OWNERSHIP - who is responsible, include family members
NEXT - anticipated changes, next steps, contingency plans
Call Out Check Back
Call out is a strategy used to communicate important information
inform all members of your team simultaneously
direct responsibility to a specific individual responsible of carrying out the task
helps anticipate next step
Check back ensures the information conveyed is understood by the individual as intended
Handover
Handover consists of: transfer of responsibility and accountability, clarity of information, acknowledgement by receiver, and an opportunity to review information. For example, this occurs during shift changes and when the patient care is transferred from one healthcare professional to another.
CUS
C - I am concerned
U - I am uncomfortable
S - This is a safety issue
2 Challenge Rule
When an initial assertive statement is ignored: It is your responsibility to assertively voice concern at least two times to ensure that it has been heard. The team member being challenged must acknowledge that concern has been heard.
Task assistance
Strong teams assist and help member of their team. Examples of this include team members actively offering and requesting assistance when required.
DESC
DESCRIBE the specific situation or behaviour, providing clear information
EXPRESS how the situation makes you feel or what your concerns are
SUGGEST other alternatives and seek agreement
CONSEQUENCES should be reviewed in term of impact to the team with a goal of reaching consensus
RACE
Rescue: Move those in immediate danger of fire or smoke.
Activate Alarm: pull station, notify switchboard
Contain Fire: Shut off O2 and close doors
Extinguish/Evacuate: if small attempt to extinguish, proceed to evacuate
PASS
Pull: pin
Aim: base of fire
Squeeze: The lever
Sweep: along fire base
Partial Evacuation
Involves the horizontal evacuation of patients. When possible, patients will be moved horizontally from the fire area through the fire/smoke doors to an area of refuge on the same floor.
Vertical Evacuation
Is the movement of patients/staff to a safe area on another floor, preferably a floor below the fire, via stairwells in the area.
Building Evacuation
Involves moving patients/staff out of the building, and is an exceedingly rare event.
