ISBAR simplified

Greetings my Fellow CardiacStrong Nurses and we may all knee buckle during your first Nursing shift-change report at the patient's bedside, so ISBAR is a core practice of patient and family centered care and a standard nursing practice to report appropriately.

ISBAR - Identify, Situation, Background, Assessment and Recommendation
Good communication is essential for safe patient care and It helps prevent vital information being missed.
Therefore, ISBAR (Identify, Situation, Background, Assessment and Recommendation) is a mnemonic created to improve safety in the transfer of critical information.

ISBAR in action
INTRODUCTION:
Introduce yourself and your role in the patient’s care
State the unit you are calling from when speaking with a physician over the phone
Situation
Specify the patient’s name and current condition or situation
Explain what has happened to trigger this conversation
BACKGROUND:
State the admission date of the patient, his or her diagnosis, and pertinent medical history
Give a brief synopsis of what’s been done so far (e.g., lab test)
ASSESSMENT:
Give a summary of the patient’s condition or situation
Explain what you think the problem is or say, “I’m not sure what the problem is, but the patient is deteriorating”
Expand upon your statement with specific signs and symptoms
RECOMENDATION:
Explain what you would like to see done (e.g., lab tests, treatments, or “I need you to see the patient now”)
State any new treatments or changes ordered (e.g., monitoring and frequency or when to notify the physician if there is no improvement in the patient)

So please utilize this ISBAR as a tool to aide the safe transfer of patient information in clinical handover my Fellow CardiacStrong Nurses.
The ISBAR technique is a simple way to plan and structure communication, which allows staff an easy and focused way to set expectations for what will be communicated and to ensure they get a timely and appropriate response. We have to remember that communication is key and this is an important framework of communication.

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