Use SBAR (Situation, Use of SBAR, callouts, and closed-loop Background, Assessment, and communication among team members. In the Recommendation), callouts, context of magnesium sulfate use, these huddles, and closed-loop techniques are particularly useful— communication techniques. for communicating a sense of urgency when requesting other unit personnel and provider for help responding to sudden changes in maternal or fetal status (e.g., seizure, magnesium toxicity, fetal distress). for communicating changes in maternal or fetal status, when giving and receiving new orders to manage sudden changes in maternal or fetal status, when briefing new care team members who arrive to support a rapid response, when regrouping to discuss plan of care if patient fails to respond to initial measures. Communicate during transitions Use of transition communication techniques assures of care. a shared mental model of plan of care and perceived risks between shifts or between units. This may include bedside review by nursing team of pump settings, mainline IV fluids, and written orders for magnesium sulfate.10 High-reliability teams: Team members protect each from work Anyone can sound an overload and place requests or offers for alarm, request help, or assistance in the context of patient safety. It is challenge the status quo. expected that assistance will be actively sought Hierarchy is minimized. and offered. Communication is Team members will advocate for the patient when continuous, valued, and one person’s viewpoint does not coincide with expected. another’s. Assert a corrective action in a firm and respectful manner. Use CUS language: am concerned. I am “I uncomfortable. This is a safety issue.” Use the Two Challenge rule and repeat your concern and inquire if you have been heard. Use a predetermined the line” phrase. “stop Teamwork Training (TeamSTEPPS®) (continued)
Use SBAR (Situation, Background, Assessment, and Recommendation), callouts, huddles, and closed-loop communication techniques. Use of SBAR, callouts, and closed-loop communication among team members. In the context of magnesium sulfate use, these techniques are particularly useful— for communicating a sense of urgency when requesting other unit personnel and provider for help responding to sudden changes in maternal or fetal status (e.g., seizure, magnesium toxicity, fetal distress). for communicating changes in maternal or fetal status, when giving and receiving new orders to manage sudden changes in maternal or fetal status, when briefing new care team members who arrive to support a rapid response, when regrouping to discuss plan of care if patient fails to respond to initial measures. Communicate during transitions of care. Use of transition communication techniques assures a shared mental model of plan of care and perceived risks between shifts or between units. This may include bedside review by nursing team of pump settings, mainline IV fluids, and written orders for magnesium sulfate.10 High-reliability teams: Anyone can sound an alarm, request help, or challenge the status quo. Hierarchy is minimized. Communication is continuous, valued, and expected. Team members protect each from work overload and place requests or offers for assistance in the context of patient safety. It is expected that assistance will be actively sought and offered. Team members will advocate for the patient when one person’s viewpoint does not coincide with another’s. Assert a corrective action in a firm and respectful manner. Use CUS language: “I am concerned. I am uncomfortable. This is a safety issue.” Use the Two Challenge rule and repeat your concern and inquire if you have been heard. Use a predetermined “stop the line” phrase. Teamwork Training (TeamSTEPPS®) (continued)