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Effective communication of changes in a resident's condition is vital for ensuring patient safety in long-term care facilities. This guide emphasizes the importance of teamwork, open reporting, and the use of effective communication tools. It details key principles through case studies, highlighting how timely and clear reporting can improve resident well-being. The guide also identifies potential barriers to communication, such as age and interpersonal issues, and suggests strategies to overcome them. Ultimately, everyone's responsibility in the care team is to report changes promptly.
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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.
