When educating a student nurse about safety communication ...

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When educating a student nurse about safety communication improvement solutions, the nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a safety communication improvement solution?
 
  a. Adopting technology-oriented tools
  b. Using standardized verbal and electronic communication tools
  c. Disempowering clients to be partners in safer care
  d. Participating in team training communication seminars

Question 2

The nurse is teaching the student nurse about how to use SBAR when calling a physician. The student nurse verbalizes understanding of SBAR when stating that SBAR is
 
  a. used as a situational briefing.
  b. utilized strictly within the hospital setting.
  c. not used in e-mails due to HIPAA rules.
  d. never recorded within the client's chart.

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Answer to Question 1

ANS: C
While a nurse's clinical judgment remains a valid, essential aspect of communication, other safety communication improvement solutions include using standardized verbal and electronic communications tools, participating in team-training communication seminars, adopting technology-oriented tools, and empowering clients to be partners in safer care. Communication that promotes client safety needs to include both communication of concise critical information and active listening.

Answer to Question 2

ANS: A
SBAR is used as a situational briefing, so the team is on the same page. It is used across all types of agencies, groups, and even in e-mails. SBAR simplifies verbal communication between nurses and physicians because content is presented in an expected format. Some hospitals use laminated SBAR guidelines at the telephones for nurses to use when calling physicians about changes in client status and requests for new orders. Documenting the new order is the only part of SBAR that gets recorded.