Lecture Notes on SBAR Report and Physician Interaction

Introduction

• Focus on SBAR report and physician interaction.
• Personal insights on effective report giving.

SBAR Report

• Not a fan of any single report style such as SBAR (Situation, Background, Assessment, Recommendations).
• Emphasizes important components of a good report:
  • Demographics: Include patient's age, race, gender, and date of admission (DOA).
  • Chief Complaint: Reason for hospital admission (e.g., shortness of breath).
  • History: Include relevant medical history that may affect current health status (e.g., coronary artery disease).
  • Chest X-ray and ABG: Provide most recent results; state if results are old.
  • Current Orders: Discuss any ongoing treatments and medications.
  • Response to Therapy: Note how the patient is responding to current therapies.

Recommendations in Reports

• Suggests not including recommendations in reports unless they’ve been addressed.
• Day shift should act on recommendations due to physician availability.
• Personal viewpoint against passing on unresolved recommendations to the next shift.

Details in Reports

• More details are better, but focus on relevant medical information.
• Avoid unnecessary background stories (e.g., personal disputes leading to injury).
• Keep reports concise and relevant to medical history, current orders, and therapy response.

Physician Interaction

• Co-arc requirements mandate student interactions with physicians.
• Tips for student-doctor interactions:
  • Know the disease process and anatomical alterations.
  • Ensure therapies are addressing the anatomical changes.
  • Constructively question orders when necessary (e.g., questioning albuterol for pneumonia).
  • Approach physicians with curiosity and willingness to learn.
  • Use the phrase: "Can I pick your brain for a moment?" to encourage positive interactions.

Conclusion

• Encourages students to comment with questions and subscribe for more content.
• Offers a positive note for further learning and interaction.

These notes provide a concise summary of the key points discussed in the lecture about SBAR reports and physician interactions, emphasizing practical advice and personal insights for students entering the medical field.