Question

Communication with other healthcare professionals about a patient should be organized, clear and concise in order to best facilitate quality care the patient. When giving hand-off communication or addressing status changes for your patient, you should follow a process of communication. Review the guidelines for ISBARR, a communication tool widely used in healthcare settings for hand-off and status change communication. The conditon of the patient is complaining of Angina.

Answer 1

ISBAR stands for Identify, Situation, Background, Assessment and Recommendation This was created to improve safety in the transfer of critical information. It originates from SBAR, the most frequently used mnemonic in health and other high risk environments such as the military.

SBAR communication has demonstrated that it enhances efficient communication that promotes effective collaboration, improves patient outcomes, and increases patient satisfaction with care. SBAR is an evidence-based best practice communication technique.

while communicating the patient condition of angina among healthcare professionals, use ISBARR guidelines,

these include,

First identify the patient,  followed by telling the names of the patients they are talking about, unit of the patient, and the room number.  Then the nurse explains the patient problem in detail. it can include the signs and symptoms of angina.

next is the situation, the nurse should communicate the current situation and health condition of the patient.

background includes, information about the patient that the doctor needs to know to help identify the source of the problem and its potential solution. This includes the reason the patient was recently seen by the doctor and specific medical history about the patient. Only information related to the patient problem is mentioned. in case of the patient with angina, have to give information regarding his recent visits, and his medical history.

next Assessment , the nurse have to communicate the information that she got while assessing the patient. it includes physical examination, and his cardiac examination .  The most common information that is obtained from patients are their vital signs: blood pressure, heart rate, temperature, and respiratory rate. Nurses also ask the patient specific questions, and the responses are shared with the doctors.

next part is the recommendation, in that the nurse suggests solution for his problem. She can request for specific tests, medications, and treatments. in the patient with angina she requests for cardiac tests that includes ecg, angiogram and angioplasty to rule out whether there is any variation in the cardiac rhythm and can identify the heart block. according to that can plan the care for the patient.