PPT Handout: Communicating Change in a Resident`s Condition

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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.

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Case Study #1

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Ms. Malone

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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.

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Key Principles of Effective Communication

• • • • Teamwork Open reporting Reporting unwanted events Giving and receiving information 6

Teamwork

• Report change across the care team.

• Work together to identify what the change may mean.

• Take action as a team.

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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.

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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.

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Barriers to Communication

• • • • • • • Gender Age/generation Language Culture Status Interpersonal issues System barriers 10

Case Study #2

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Case Study #2 Mrs. Brown

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Case #2 Min-Wa and Susan

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Case Study #2 Observations

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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 15

How Should Information Be Communicated?

• Reporting and communication tools: ► Early Warning Tool ► SBAR ► CUS 16

Stop and Watch Early Warning Tool

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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

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Case Study #3

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Case Study #3 Mr. Harris

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Case #3 Observations, Day 4

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Case Study #4

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Case Study #4 Change-of-Shift Meeting (Min-Wa)

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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.

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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. 25

Case Study #5

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Case Study #5: Mrs. Carver February 2012 – March 2014

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Case Study #5: Mrs. Carver April 1, 2014

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Case Study #5: Mrs. Carver April 2, 2014

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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.

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