Hand-off communication tools such as the SBAR are used in the following situation:
patient leaving against medical advice
patient transfer to another facility
visitor fall
needle stick injury to a nurse
The Correct Answer is B
A. Patient leaving against medical advice:
When a patient decides to leave the hospital against medical advice, it's crucial to communicate this decision effectively. However, this situation does not specifically require a structured communication tool like SBAR. Rather, it necessitates clear communication to ensure the patient understands the risks and implications of leaving against medical advice.
B. Patient transfer to another facility:
During a patient transfer, especially between different healthcare facilities, it's essential to provide a comprehensive hand-off communication. SBAR is commonly used in such situations.
Situation: Describes the current situation and why the patient is being transferred.
Background: Provides relevant medical history and context.
Assessment: Presents the patient's current condition and vital signs.
Recommendation: Specifies what care and interventions the receiving facility should provide.
Using SBAR in this context ensures that all critical information is passed on accurately, minimizing the risk of errors and improving the continuity of care.
C. Visitor fall:
While a fall involving a visitor is an important incident, it doesn't typically require a structured communication tool like SBAR. Instead, it necessitates immediate response, assessment, and appropriate reporting within the hospital’s incident reporting system.
D. Needle stick injury to a nurse:
In the case of a needle stick injury, prompt reporting and proper follow-up are vital. While communication is crucial, it doesn't usually follow the structured format of SBAR. The nurse needs to report the incident to their supervisor or employee health, which would initiate appropriate protocols for testing, treatment, and documentation. Clear communication is necessary, but it doesn’t typically involve the use of the SBAR tool.
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Related Questions
Correct Answer is D
Explanation
A. Use open-ended questions:
Open-ended questions are typically avoided when communicating with aphasic patients. These questions require more complex responses, which might be difficult for someone with language impairments.
B. Not assume that the patient can understand what is heard:
This is a prudent approach. Assuming comprehension without confirmation can lead to misunderstandings. It's better to confirm understanding through non-verbal cues or other communication methods.
C. Talk to the family instead:
While involving family members is important, it doesn't replace direct communication with the patient. The nurse should attempt to communicate directly with the patient, using appropriate techniques.
D. Ask one question at a time:
This is the most suitable option. Asking one question at a time allows the patient to focus on a specific topic and respond more effectively, especially if they have difficulty processing complex information.
Correct Answer is C
Explanation
A. The nurse tells the patient not to worry about the surgery: This response dismisses the patient's concerns and does not engage in active listening. It does not encourage the patient to express their feelings or concerns.
B. The nurse assures the patient that the surgeon is very experienced: While this response provides information, it does not actively listen to the patient's concerns. It might be reassuring, but it doesn't engage in a deeper understanding of the patient's feelings.
C. The nurse asks the patient why they are afraid of surgery: This response demonstrates active listening. By asking the patient to express their fears, the nurse is encouraging the patient to talk about their concerns openly. This fosters a therapeutic relationship and allows the nurse to better understand the patient's emotions and address their specific worries.
D. The nurse shares her/his own experience of having surgery: Sharing personal experiences can sometimes be helpful, but in this context, it doesn't actively listen to the patient. It shifts the focus away from the patient's concerns to the nurse's experiences, which might not be relevant or helpful to the patient.
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