Communicating with Providers
Included In This Lesson
Study Tools For Communicating with Providers
Outline
Overview
- Have information needed in front of you
- SBAR
Nursing Points
General
- Have the information needed
- Chart open
- Patient’s name, allergies, current medications, history
- Be confident
- Practice before you call
- Listen to other nurses when they call
- You are with the patient and know when something is wrong
- Repeat any orders that are given
- Patient safety
- SBAR
- Situation
- Introduction and what is going on?
- What is the concern?
- Background
- The history or why the patient is in the hospital?
- Assessment
- What is the concern?
- Recommendations
- Does the provider need to come in?
- Is there something specific you want to ask for, like labs or EKG?
- Or just ask “what would you like me to do?
- Situation
Transcript
In this lesson I am going to help you understand best ways to communicate with providers.
This can be the hardest and most stressful for new nurses or new nurses to the unit. I remember the first time I had to call a doctor and it was terrifying. I am going to give you some pointers to hopefully make it less stressful and make you successful in these conversations. There might be several reasons that you have to call a provider. Maybe there is a change in the patient’s status ot for different pain medications whatever it is the best thing you can do is have the information you need and be prepared. So way to be prepared are to have the chart open. You are going to be asked questions and you want to be prepared so have it open so you have the patient’s name, allergies, current medications, and history all easily accessible. Being confident is another important piece. They can tell when you are nervous and uneasy so be confident! You are a nurse and you are caring for a patient and now have a concern so you are advocating for that client. Be confident about it. Confidence will be easier with experience so don’t be afraid to practice the phone call. Run everything through your head that you need to say. When I was a new grad nurse I would listen to other nurses when they would call just see what worked best. Repeat any orders that are given. This is really important and is about patient safety. You could hear wrong or you’ve woken a doctor during the night who might not be thinking clearly so please repeat what ever order they have given even if its something simple. So “you want me to do an EKG and have the hospitalist read the results?” Simple but just as important to repeat as “Give 1 mg morphine IV now”. Let’s look at the SBAR mnemonic for communication. This can be used for nurse hand off but also for talking to the provider. It just helps keep your thoughts together and organized, which can take some of the stress away.
Ok so SBAR this is a great tool that can help you keep everything organized when talking to a provider. S is situation. This is where you can do the introduction and state if there is an imminent concern. So “Hey Dr. Smith this Miriam and Im taking care of Mr. Tuck” and if there was an immediate concern you would add that “Hey Dr. Smith this Miriam and Im taking care of Mr. Tuck who is having chest pain”. B is background. This is the history or why the patient is in the hospital. “Hey Dr. Smith this Miriam and Im taking care of Mr. Tuck who is having chest pain. He was admitted for hypertension and has been taking labetalol to control his blood pressures” Then A is assessment. What is the concern? In this case we have already said the concern because chest pain is an imminent concern but you could add any assessment you have done because of the chest pain. What is his current blood pressure and oxygen saturation. And R is recommendations-. Does the provider need to come in? Is there something specific you want to ask for, like labs or EKG? Or just ask “what would you like me to do? So for this scenario you would say “Hey Dr. Smith this Miriam and I’m taking care of Mr. Tuck who is having chest pain. He was admitted for hypertension and has been taking labetalol to control his blood pressures. His current blood pressure is 190/92 and oxygen saturation of 92% would you like me to give nitroglycerin, perform an EKG and come evaluate the patient?” This is scary, right? Something is going on with your patient and you also have to call and talk to a provider. The first time will be nerve racking but then you will get a good feel for how this best works and it will get easier.
Let’s review everything! When communicating with the provider it is important to be prepared. So this means have the chart open in front of you so that you have all the information you need. Be clear on which patient you are calling about so no room numbers, or only a diagnosis. Say the patient’s name and what they are there for. Be confident in your communication. And repeat any orders that are given to ensure you have heard correctly and to avoid any errors.
Practice using the SBAR tool and practice making these calls. It will help it go better and you feel better. Now, go out and be your best selves today. And, as always, happy nursing.
Study Guide pre LPN-RN
Concepts Covered:
- Cardiac Disorders
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Central Nervous System Disorders – Brain
- Neurological
- Noninfectious Respiratory Disorder
- Respiratory
- Hematologic Disorders
- Delegation
- Perioperative Nursing Roles
- Acute & Chronic Renal Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Immunological Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Medication Administration
- Vascular Disorders
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Gastrointestinal Disorders
- Newborn Complications
- Peripheral Nervous System Disorders
- Studying
- Integumentary Disorders
- Communication
- Microbiology
- Emergency Care of the Trauma Patient
- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Circulatory System
- EENT Disorders
- Postoperative Nursing
- Neurological Emergencies
- Disorders of Thermoregulation
- Neurological Trauma
- Basics of NCLEX
- Fundamentals of Emergency Nursing
- Integumentary Important Points
- Multisystem
- Test Taking Strategies
- Tissues and Glands
- Urinary System
- Emergency Care of the Neurological Patient
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Nervous System
- Respiratory Disorders
- Respiratory System
- Infectious Disease Disorders
- EENT Disorders
- Emergency Care of the Respiratory Patient
- Health & Stress
- Skeletal System
- Endocrine System
- Hematologic System
- Digestive System
- Reproductive System
- Endocrine and Metabolic Disorders
- Muscular System
- Sensory System
- Basics of Human Biology
- Adult
- Anxiety Disorders
- Depressive Disorders
- Dosage Calculations
- Understanding Society
- Concepts of Pharmacology
- Newborn Care
- Adulthood Growth and Development
- Pregnancy Risks
- Postpartum Complications
- Substance Abuse Disorders
- Bipolar Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Prefixes
- Suffixes
- Fetal Development
- Terminology
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Labor Complications
- Labor and Delivery
- Postpartum Care
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Oncologic Disorders
- Eating Disorders
- Personality Disorders
- Trauma-Stress Disorders
- Developmental Considerations
- Concepts of Mental Health
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Factors Influencing Community Health
- Community Health Overview