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Related Concept Videos

SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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Types of Reports I: Hands-off Report01:25

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
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Paramedic to trauma team verbal handover optimization - a complex interaction.

Shaun Cowan1, Patrick Murphy2, Michael Kim2

  • 1From the Department of Surgery, University of Alberta, Edmonton, Alb. (Cowan, Kim, Mador, Verhoeff, Widder); the Department of Surgery, Indiana University, Indianapolis, Indianna (Murphy); the Department of Critical Care, University of Alberta, Edmonton, Alb. (Cowan, Kim, Widder); the Department of Emergency Medicine, University of Alberta, Edmonton, Alb. (Chang, Kabaroff); the Alberta Emergency Medical Services, Alberta Health Services, Edmonton, Alb. (Cameron); and the Shock Trauma Air Rescue Society, Alberta, Edmonton, Alb. (Cowan, North) cowan@ualberta.ca.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
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PubMed
Summary
This summary is machine-generated.

Standardized trauma handover formats like IMIST and ISOBAR are preferred over ad-lib communication. Key factors for effective trauma care include vital signs, logical structure, and minimizing distractions during patient transfer.

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Area of Science:

  • Emergency Medicine
  • Trauma Care
  • Healthcare Communication

Background:

  • Effective handover of patients to the trauma team is critical for optimal trauma care.
  • Current trauma handovers are often unstructured, leading to communication challenges between unfamiliar teams in chaotic environments.
  • Standardization of emergency medical services (EMS) reports is needed for conciseness, key detail inclusion, and time limitation.

Purpose of the Study:

  • To evaluate the effectiveness of structured handover formats compared to unstructured (ad-lib) communication during trauma patient transfer.
  • To compare the ISOBAR (identify, situation, observations, background, agreed plan, and readback) and IMIST (identification, mechanism/medical complaint, injuries/information about complaint, signs, treatments) handover formats.

Main Methods:

  • A single-blind randomized simulation trial was conducted with paramedics.
  • Paramedics used either ad-lib, ISOBAR, or IMIST handover formats during simulated trauma scenarios.
  • Handovers were assessed by the receiving trauma team and by experts through audiovisual recordings.

Main Results:

  • Participant ratings indicated a preference for the IMIST (9/10) and ISOBAR (7.5/10) formats over ad-lib communication.
  • Handover quality was perceived as higher when objective vital signs and a logical format were used.
  • Factors such as confidence, team leadership, pre-transfer summarization, and lack of interruptions significantly impacted handover quality, more so than the specific format used.

Conclusions:

  • Prehospital and hospital personnel agree on the preference for standardized trauma handover tools.
  • Improving handover effectiveness can be achieved through confirming physiologic stability (including vital signs), reducing distractions, and implementing team summarization.
  • While specific formats showed preference, a combination of structured elements and environmental factors determines overall handover quality.