Transcript Nurse to RMO - Mental Health

Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
•
Introduction
– Who, what and where you are and why are you calling
also is this a good time to talk?
•
Situation
– What is happening now. “The situation is….”
•
Background
– What led to the situation. “By way of background…”
•
Assessment
– What you consider the problem is. “My assessment
is” or “I assess….”
•
Recommendation
– What should we do to correct the problem. “I
recommend…..”
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Introduction
Who, what and where you are and why are you calling
Establish you are talking to the right person and that it is
convenient to have the conversation at that time
• “Hello I am Kim Lake, an RN on the mental health ward at
Maitland Hospital. Is this Dr Zed?
• “I am calling because I am concerned about a patient
bought in today in an agitated state, do you have a
moment to talk?”
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Situation
Give the situation as of now, including key information
such as patient’s age and gender, and current status
• “The situation is that Mr Bee is a 24 year old man,
has become increasingly agitated tonight and I think
he would benefit from a medical review”
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Background
Give the relevant background details such as
presenting factors and complications
• “By way of background, Mr Bee has a history of
alcohol and drug abuse and has been seen by the
community mental health team previously for his
psychosis. Mr Bee was bought in last night psychotic
and was sedated for agitation”
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Assessment
What do you consider is going on
• “Mr Bee is now mumbling incoherently and becoming
more and more agitated to the point where he may cause
harm to himself or others”
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Recommendation
Be clear about your recommendation
• “I would like you to come and review Mr Bee as
soon as you can please as his condition is
unstable and he would benefit from a medication
review to assist with diagnosis and a treatment
and care plan”