[DSA] SBAR/Patient Handoff

Question 1

What does ISBAR stand for?

Answer 1

I = Identification

S = Situation

B = Background

A = Assessment

R= Recommendation

Question 2

What does I-PASS stand for?

Answer 2

I = Illness severity

P= Patient summary

A = Action list

S = Situation awareness/Contingency plans

S = Synthesis by receiver

Question 3

What is PSYCH mneumonic used for?

Answer 3

Psychiatric ED handoffs

Patient information/background

Situation leading to hospital visit

Your assessment

Clinical information

Hindrance to discharge

Question 4

What does “I PUT PATIENTS FIRST” mneumonic stand for?

Answer 4

I = Identify yourself and role and obtain nurses name

P= Patient’s PMH

U= Underlying diagnosis

T= Technique

P=Peripheral IVs, arterial lines, central lines, drains

A = Allergies

T = Therpeutic interventions

I = Intubation

E = Extubation likelihood

N = Need for drips

T= Treatment plan

S= Signs

F = Fluids

I= Intraoperative events

R= Recent labs

S = Suggestions for immediate post op care

T = Timing/expected time of arrival to ICU

Question 5

Communications failures in US hospitals and medical practices were responsible for ___% of all malpractice claims

Answer 5

Communications failures in US hospitals and medical practices were responsible for 30% of all malpractice claims

Question 6

What is a hand off?

Answer 6

A transfer and acceptance of patient care responsibility acheived through effective communication

Question 7

What are some examples of critical content that should be included in a hand-off?

Answer 7

• Sender contact info
• Illness assessment
• Patient summary
• To-do action list
• Contngency plans
• Allergy list
• Code status
• Medication list
• Dated laboratory tests
• Dated vital signs