NRS 311 Study Guide - Final Guide: Personal Health Record, Transitional Care, Medication Therapy Management
27 May 2018
School
Department
Course
Professor
Safe Communication in a Team Setting (SBAR)
• Transitions of Care
o Patients receive care in a variety of clinical settings.
o Care transitions are more complicated today.
▪ Aging population
▪ More people living with chronic conditions
▪ Interdisciplinary healthcare teams span multiple settings
o Care transitions are very complex and very common.
▪ Within a setting
▪ Between settings
▪ During hand-offs of responsibility
▪ When teaching care patients and families
o Communication is an essential component of effective care transitions.
o Transitions coach
▪ Empowers patients and families to take an active role in post hospital
transitions.
▪ Based on the four pillars of care.
• Medication management
• Personal health record
• Red flags
• Follow-up care
o Transitional care nurse
▪ Takes a multidisciplinary approach to provide comprehensive in-hospital
discharge planning and home follow-up.
▪ Focus is on high-risk, chronically ill older adults.
▪ Emphasizes preventing complications and improving patient outcomes.
o Targeted Assessment of Common Transition-Related Problems
▪ Signs and symptoms management
▪ Self-management strategies
▪ Medication management
▪ Home environment
▪ Family caregiver involvement
▪ Transportation
▪ Post hospital follow-up
▪ What we address before we discharge. What are the things they are going to do
so they can take care of themselves? Are they going to take their meds? Why
are you on medication?
o Ask Me 3 Campaign
▪ National Patient Safety Foundation 2013 to provide patients with information
they need to know
• 1. What is my main problem?
• 2. What do I need to know?
• 3. Why is it important for me to do this?
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Safe communication in a team setting (sbar: transitions of care, patients receive care in a variety of clinical settings, care transitions are more complicated today, aging population, more people living with chronic conditions. Why are you on medication: ask me 3 campaign, national patient safety foundation 2013 to provide patients with information they need to know, 1. What do i need to know: 3. Why is it important for me to do this: unusual occurrence reports- uor"s, not in medical records: if they are it can be used in the court of law, high-reliability patient-safe communication strategies, hand-off guidelines. Sbar: handoffs, hand-off is recognized as the most vulnerable point in patient safety, hand-offs occur at the following times, nurse-to-nurse. Transitions are critical: not everyone has electronic health records, look-alike/sound-alike, there are over 600 paris of look-alike and sound alike drug names, tall man letters, read-back/ hear-back, the sender states information concisely.
