Importance of Communication about Antibiotic Use
Susanne Salem-Schatz, Sc. D.
Collaborative Director
Massachusetts Coalition for the Prevention of Medical Errors
Communication about medications on transitions of care
What “Receivers” Want to Know*
indication dose start and end date date and time of last dose heads-up re potential adverse effects pre-admission med list current active med list pending lab tests
*Adapted From Terrance O’Malley, MD
April 25, 2012
Cross-facility teamwork
Resources in your facility and partners: C. difficile prevention partnership collaborative
team leaders in hospitals and long term care facilities
STate Action on Avoidable Rehospitalizations (STAAR) team in hospitals and long term care facilities
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Did you ever have a time when:
You didn’t think antibiotics were the best answer, but you prescribed them (or called the request in to the provider) What happened? So what?
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Persuasive Communication “Tips”
Provide reassurance Engage families /residents in conversation Establish Credibility Brief Graphic Printed Materials Offer Practical Alternatives Keep it simple
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Establish Credibility
Refer to credible sources of data Centers for Disease Control (CDC) Federal Drug Administration (FDA Published literature
Refer to credible individuals Their physician or nurse practitioner
If you have changed your thinking share how you changed your mind
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Engage in conversation
Put yourself in their shoes Address common myths
Reference with evidence Let them know there is a plan, even if
antibiotics aren’t the answer.
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Brief Graphic Printed Materials
Use educational materials to reinforce your points
Point to key messages as you talk
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Practical Alternative?
Watch closely for new symptoms
Increase fluids Monitor I/0 Check vital signs more
frequently
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Keep it simple
Keep it simple--try to get across only a few major points
Use the power of metaphor Give yourself a script / practice
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Next Steps
TODAY : Practice AT WORK:
Share with your colleagues (MD/NP, RN) Think small tests of change
Try it, tweak it, try it again, share and expand Make notes for your script, your pamphlet
TELL US WHAT HAPPENED Let’s learn together. What did you change? What worked best
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Time to Practice
You are:The daughter of a resident at the Pleasant Valley skilled
nursing facility. You notice that your mother’s behavior is a little “off” and think it is probably because of a UTI (she has had them before)
ORThe nurse making rounds at the beginning of the evening
shift. This resident had been discussed at the change of shift report. Mild mental status changes, weakness, fatigue, and general malaise were observed with no no symptoms of UTI
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Upcoming Events
May 16 (if you have colleagues who couldn’t attend today) April 30th 8AM-Noon, Newton MA Repeated May 16 8AM-Noon, Sturbridge MA
Ask the expert Focus on Diagnosis and Treating UTI Communication strategies to promote appropriate medication use
June 22nd C. Difficile Prevention Partnership Collaborative Learning and Sharing Workshop
Learn additional strategies for C. diff prevention from local and national experts, and your Massachusetts colleagues.
Contact Fiona [email protected]
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