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Improving Patient Safety in Long-Term Care Facilities: Communicating Change in a Resident’s Condition. Student Version. A Safe Environment. Effectively communicating change in a resident’s condition is critical to patient safety. Case Study #1. Ms. Malone. Creating a Safe Environment.
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Improving Patient Safety in Long-Term Care Facilities:Communicating Change in a Resident’s Condition • Student Version
A Safe Environment Effectively communicating change in a resident’s condition is critical to patient safety.
Creating a Safe Environment • Reporting changes helps keep resident’s safe. • Learning and experience are what make safety possible. • Openly reporting anything that might affect a resident’s well-being is essential for a safe environment. • Change in a resident’s condition should be reported openly whenever it happens.
Key Principles of Effective Communication • Teamwork • Open reporting • Reporting unwanted events • Giving and receiving information
Teamwork • Report change across the care team. • Work together to identify what the change may mean. • Take action as a team.
Reporting Unwanted Events • Learn to communicate promptly and openly when something happens that might affect a resident’s well-being. • Move beyond blaming anyone to being able to openly share experiences. • Show you care by speaking up.
Giving and Receiving Information • Express information in a way that will be understood by others. • Hear information as it is being reported. • Make effective use both of verbal and nonverbal communication skills.
Barriers to Communication • Gender • Age/generation • Language • Culture • Status • Interpersonal issues • System barriers
What Should Be Communicated? • Physical changes • Walking • Urination/bowel patterns • Skin quality • Level of weakness • Falls • Vital signs • Nonphysical changes • Demeanor • Appetite • Sleep • Confusion • Agitation • Pain • Relevant external factors
How Should Information Be Communicated? • Reporting and communication tools: • Early Warning Tool • SBAR • CUS
SBAR Tool SBAR: http://interact2.net/docs/INTERACT%20Version%203.0%20Tools/Communication%20Tools/Communication%20Within%20the%20Nursing%20Home/INTERACT%20SBAR%20Form%20v8%20Jan%2014%202013.pdf
The CUS Tool • I am Concerned about my resident’s condition. • I am Uncomfortable with my resident’s condition. • I believe the Safety of the resident is at risk.
Principles in Action CUS: Min-Wa to RN Team Leader • I'm concerned about Mr. Harris. • I’m uncomfortable that his temperature is up and that he has developed diarrhea. • I believe that he might be developing an infection that should be treated.
Key Points • Communicate changes promptly. • Reports of change can come from many sources. • Every team member is responsible for reporting changes. • Everyone faces barriers to communication. • Tools to break down barriers.
