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Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication • Introduction Who, what and where you are and why are you calling also is this a good time to talk? • Situation What is happening now. “The situation is….” • Background What led to the situation. “By way of background…” • Assessment What you consider the problem is. “My assessment is” or “I assess….” • Recommendation What should we do to correct the problem. “I recommend…..” Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Introduction Who, what and where you are and why are you calling Establish you are talking to the right person and that it is convenient to have the conversation at that time (or, where necessary, that the conversation must take place now for a pressing reason) “Excuse me, I am Julie Aye, one of the registered nurses here. I understand you are a student? May I speak with you a moment please? Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Situation Give the situation as of now, including key information such as patient’s age and gender, and current status “The situation is that I’m not sure if you remembered to use hand gel when you came out of that patient’s room…” Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Background Give the relevant background details such as presenting factors and complications • “ By way of background as you probably know hand hygiene is critical if we are to prevent staff and visitors spreading infection from patient to patient, and it’s now mandatory for all staff including students to attend to hand hygiene before, after and sometimes during every patient interaction….. Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Assessment What do you consider is going on • It appears that you didn’t see the gel at the foot of the bed or at the door, otherwise of course you would have used it. • You need to use the gel now and at every opportunity to prevent potential cross contamination, even if you didn’t examine the patient Clinical Governance – Pursuing Quality, Safety and Excellence ISBAR In Our Communication Recommendation Be clear about your recommendation or what you are asking of the other person There’s gel over here for you to use … would you like me to show you how to gel your hands according to the standard?