Laurie Herndon, MSN, GNP Director of Clinical Quality Massachusetts Senior Care Foundation SBAR...
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Transcript of Laurie Herndon, MSN, GNP Director of Clinical Quality Massachusetts Senior Care Foundation SBAR...
Laurie Herndon, MSN, GNPDirector of Clinical Quality
Massachusetts Senior Care Foundation
SBAR Communication Form and Progress Note
The development and evaluation of the INTERACT quality improvement program and Curriculum are supported by grants from the Retirement Research Foundation and The Commonwealth Fund
INTERACT Curriculum Session 4
If you are participating in a teleconference proceed to the next slide for instructions
If you are reviewing this session as a self-learning activity: Proceed to slide # 4 Click the speaker at the bottom of each
slide to listen to the audio If you do not have audio, click on “View” on the
toolbar, and select “Normal” to view the text below each slide – if necessary select “Zoom” to make all of the slide and text visible.
INTERACT Curriculum Session 4
Teleconference Instructions
Call in Number 1-888-808-6959
Conference Code 3588988 #During the call, please mute your line Press * 6
To un-mute your line Press # 6
If the leader is not on the call when you call in, please wait
INTERACT Curriculum Session 4
Welcome and Introductions
SBAR: Purpose and Implementation Strategies
This session is designed for the entire interdisciplinary team, including the:
• Project champion and co-champion• DON, key RNs and LPNs• Medical director, primary care MDs, and
NPs/PAs
SBAR: Purpose and Implementation Strategies
Laurie Herndon is a Gerontological Nurse Practitioner at Fallon Clinic in Worcester MA. She received her Master of Science in Nursing at Simmons College. She is currently the Director for Clinical Quality at Massachusetts Senior Care Foundation.
Laurie has worked as a project consultant for a number of New England Quality Improvement Organizations on topics including Depression, Falls, and Medication Management.
She holds a clinical faculty position at the University of Massachusetts Graduate School of Nursing in Worcester where she served as the project coordinator for CoGEMS: Comprehensive Geriatric Education and Mentoring Across Settings [email protected]
The INTERACT Interdisciplinary Team
Laurie Herndon, GNP Mass Senior Care FoundationGerri Lamb, PhD, RN, FAAN Arizona State UniversityRuth Tappen, EdD, RN, FAAN Florida Atlantic UniversitySanya Diaz, MD Florida Atlantic UniversityJohn Schnelle, PhD Vanderbilt UniversitySandra Simmons, PhD Vanderbilt UniversityAnnie Rahman, MSW Miami UniversityJo Taylor, RN, MPH The Carolinas Center for Medical ExcellenceAlice Bonner, PhD, GNP Center for Medicare and Medicaid Services
In collaboration with participating nursing homes
SBAR: Purpose and Implementation Strategies
Before You Begin
Download and print the SBAR from the INTERACT II website (www.interact2.net)
Click on INTERACT Tools Click on SBAR Communication and
Progress Note
SBAR: Purpose and Implementation Strategies
Describe the purpose of the SBAR Communication and Progress Note
Identify two strategies for implementing the SBAR
What this session will cover
SBAR: Purpose and Implementation Strategies
Pre Session #4 Quiz
Please complete the Pre-Session Quiz If you take the Quiz in a paper and pencil format,
please make sure your facility champion or co-champion gets a copy
If you are reviewing this session on-line, you can take the on-line Quiz, or take the Quiz using a hard copy obtained from your facility champion or co-champion, and return it to them
SBAR: Purpose and Implementation Strategies
Homework Review
SBAR: Purpose and Implementation Strategies
The Purpose of the SBAR
Improve communication Consistent language Standardized criteria Clear guidelines Communication that is efficient Communication that is effective
SBAR: Purpose and Implementation Strategies
SBAR is a tool for LPNs and RNs to evaluate changes in the resident’s condition AND communicate them to the MD/NP/PA AND document them
SBAR: Purpose and Implementation Strategies
Case Study : Mrs. Jones
SBAR: Purpose and Implementation Strategies
Getting a comprehensive history:Who to involve
Other staff members including: CNA Rehab staff Social Workers Activities Family member Health Care Proxy
SBAR: Purpose and Implementation Strategies
SBAR: Purpose and Implementation Strategies
Case Study : Mrs. Jones
SBAR: Purpose and Implementation Strategies
Case Study : Mrs. Jones
Case Study : Mrs. Jones
SBAR: Purpose and Implementation Strategies
Progress Note
SBAR: Purpose and Implementation Strategies
Video Clip
SBAR: Purpose and Implementation Strategies
Implementing the SBAR within the culture of your nursing home
SBAR: Purpose and Implementation Strategies
Implementation StrategyTraining Tip: Making the case for SBAR
Assists nurse in organizing and articulating their assessment
Easily alerts all providers about a change in condition
Enhances shift to shift communication Can be copied and sent to ER with resident
SBAR: Purpose and Implementation Strategies
Implementation Strategies Start on one unit Individual vs. group training sessions Daily reminders Engage the medical director Include as part of orientation Can track “near misses”
SBAR: Purpose and Implementation Strategies
Homework (1)
Select two implementation strategies from suggestions provided (One strategy must include getting started with the SBAR on at least one unit)
Implement the SBAR on at least one unit with at least one nurse for the next two weeks
SBAR: Purpose and Implementation Strategies
Homework (2) Prior to the next call, ask staff who have been using
the SBAR for the following feedback: How has using the SBAR influenced your conversations with
MDs/NPs/PAs when you are calling them about a change in a resident condition
Do you have any questions or suggestions about the SBAR?
For the next call, be prepared to take 1-2 minutes to share:
Which two implementation strategies you selected
Feedback from the staff
SBAR: Purpose and Implementation Strategies
Un-mute the line: Press # 6Please re-mute your line after talking: Press * 6
Questions and suggestions on Session 4 can also be directed to Laurie Herndon
by email at:
[email protected] Please insert in the Subject Line:
“Question about the INTERACT Curriculum”
For teleconference participants:Questions, Suggestions, Comments?
SBAR: Purpose and Implementation Strategies
Session 5:
Care Paths and Change in Condition File Cards
The Next Session
The topic and participants are listed belowFor teleconference participants, check the date and time for the next session
Champion DON Key RNs,
LPNs
Medical Director Key MDs,
NPs/PAs
SBAR: Purpose and Implementation Strategies
Please complete the Post-Session Quiz and Evaluation If you take the Quiz and complete the Evaluation in a paper and
pencil format, please make sure your facility champion or co-champion gets a copy
If you are reviewing this session on-line, you can take the on-line Quiz and complete the evaluation on-line.
Post-Session #4 Quiz and Evaluation
SBAR: Purpose and Implementation Strategies