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(2) SBAR-žImproving Hand Off Communication Between the OR ENT Service and the Pediatric Intensive Care Unit: A Pilot ProjectÓ

Adrianne Farley

Abstract:

Quality patient care and safety is an ongoing process improvement initiative. Literature and regulating agencies stress the need for improved communication between caregivers. An area for improved communication was needed between the Operating Room Ear Nose and Throat specialty nurse, and the receiving Pediatric Intensive Care Unit (PICU) nurses. ChildrenŪs has 2 OR suites dedicated to the ENT service daily. We transfer approximately 15- 20 ENT patients to the PICU monthly. The process of handoff involved a completion of a paper reviewing lines and tubes, a telephone report to the PICU RN by the OR ENT specialty nurse and the anesthesia team transferring the patient to the PICU. A survey prior to the trial of the form pointed out a lack of pertinent information regarding the OR case. As a Fellow in our Evidence Based Practice Fellowship, the clinical question was addressed žIs there is a tool or technology to help improve communication between OR staff and the receiving PICU unit staff?Ó. A review of the literature found the SBAR (Situation, Background, Assessment and Recommendation) format of communication was the best practice fora nurse hand off. A project team developed the OR SBAR form. We have used it for one year with multiple revisions. The form has improved the organization of hand off communication between the OR and PICU. We now use the form as a standard communication for any transfer of patients to any of our Intensive Care Units. The handoff tool has now initiated a tool for the communication between the Peri-operative areas of SDS-OR-PACU.

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