Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 163

The NMC Code contains requirement which are relevant to escalating concerns:

1 8.1 Respect the skills, expertise and contributions of your colleagues, referring matters to them where appropriate

2 13.2 Make a timely referral to another practitioner when any action, care or treatment is required

3 13.3 Ask for help from an appropriately qualified and experienced professional to carry out any action or procedure which is beyond the limits of your competence

4 15.2 Arrange, wherever possible, for emergency care to be accessed and provided promptly

The most common root cause of serious errors clinically and organisationally is related to inadequate verbal and written communication. The Institute for Innovation and Improvement (2010) notes that there are some important barriers to communication that occur across different disciplines and levels of staff. These barriers include:

 Hierarchy

 Gender

 Ethnic background

 Differences in communication styles between disciplines and individuals

Communication is more effective (and therefore patient safety) in teams where there are standard communication structures in place; Situation, Background, Assessment, Recommendation (SBAR) and Reason, Story, Vital Signs, Plan (RSVP) are examples of these standard communication structures.