Transcript Clinical Governance – Pursuing Quality, Safety and

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 (or, where
necessary, that the conversation must take place now for a
pressing reason)
“Excuse me, I am Julie Aye, one of the registered nurses here.
I understand you are a student?
May I speak with you a moment please?
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 I’m not sure if you remembered to
use hand gel when you came out of that patient’s
room…”
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 as you probably know hand
hygiene is critical if we are to prevent staff and
visitors spreading infection from patient to patient,
and it’s now mandatory for all staff including students
to attend to hand hygiene before, after and
sometimes during every patient interaction…..
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Assessment
What do you consider is going on
• It appears that you didn’t see the gel at the foot
of the bed or at the door, otherwise of course you
would have used it.
• You need to use the gel now and at every
opportunity to prevent potential cross
contamination, even if you didn’t examine the
patient
Clinical Governance – Pursuing Quality, Safety and Excellence
ISBAR In Our Communication
Recommendation
Be clear about your recommendation or what
you are asking of the other person
There’s gel over here for you to use … would
you like me to show you how to gel your
hands according to the standard?