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Communication 23 Dec 2024

The document discusses effective communication strategies in an ICU setting, emphasizing the importance of clear communication with colleagues, patients, and their families. It highlights the use of technology, such as group messaging and Google Docs, to facilitate information sharing and ensure that all team members are informed. Additionally, it stresses the need for empathy and sincerity when communicating with patients and their families, particularly in sensitive situations like end-of-life care.

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3 views

Communication 23 Dec 2024

The document discusses effective communication strategies in an ICU setting, emphasizing the importance of clear communication with colleagues, patients, and their families. It highlights the use of technology, such as group messaging and Google Docs, to facilitate information sharing and ensure that all team members are informed. Additionally, it stresses the need for empathy and sincerity when communicating with patients and their families, particularly in sensitive situations like end-of-life care.

Uploaded by

jhingalala339
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Communication

Dr Sampurna Man Tuladhar


MBBS, MS, MRCSEd, Fellowship ( Univ of
Chicago)
Situations in our context
 ICU is a high adrenaline place
 Family wants to know lots of things all the time
 Lots of phone calls for personal touch
 Families ALWAYS hangs around outside ICU
3 situations

 How to effectively talk with colleagues

 How to effectively talk with patients

 How to transfer information over the telephone


EFFECTIVE TALKING WITH COLLEAGUES:
Group viber
all key players are aware what is going on to the patient

As soon as an
operation is done,
the anesthetist
makes a group
viber for that
particular patient –
surgeons,
anesthetists, on
duty doctor

(others specialist)
chest physician
cardiologist
nephrologist
Use of technology in
communication

Google Docs
folder in
Gmail
Handover sheet
Google Docs and keeping accurate data

 Ensure there is a backup online ( google docs)


 Online issues can be checked by anyone with access
 Handover sheets can be printed from the same
google doc form
 Don’t allow the pressures of clinical work to distract
from time needed to communicate

Poor communication can lead to harm of the


patient

Be respectful when communicating

But properly and precisely


Communicating on the phone
 Dyspnoic patient:
Hello, I have Mr …. Who has
presented with SOB

WHAT ARE YOU GOING TO SAY NEXT?

Has everything been thought through properly before lifting the


phone ?
Proper method of communicating
Go through the whole plan in one’s head before speaking

 His Sats on …..L of oxygen is ………


 BP/pulse is ………….
 Chest examination? – wheeze, creps, breath sounds
 I have done a CXR which shows …………
 I have already forwarded the image via viber/whatsapp
 I have given ….. Medication
 I have done a arterial blood gas which shows……..
 I have spoken with ICU intensivist regarding possible
BiPAP / Ventilator and a bed is/ is not available

WHO WILL GET A GOOD RECOMMENDATION / PROMOTION / SURGICAL


KNIFE – who is the most skillful in communication ?
EFFECTIVELY TALKING WITH PATIENTS

RESPEC ICU must develop a culture of


speaking with family after the
rounds

T Quiet, comfortable private place


Rapport just outside ICU

Explain
Presence of nurse or duty doctor (
Sincerity especially serious patients)

Practice Always have other


team members +_
Empathy security if aggressive
families
Collaborate
Where important issues –
Technology Document your
Patient and their Family
 Are scared

 Are confused

 Will take your word for granted – most of the time


without questioning

 Are much more vulnerable than we sometimes think

 Always look for body language

 What do they feel and what is going on through their


mind

ALL THIS TAKES A LOT OF PRACTICE – SOMETIMES YEARS


Communicating in dying patient
 Always have a channels of communication open
 Gauze the level of anxiety and aggressiveness
 Know who are the key family members
 Ask permission to start the conversation
 Search for what their expectations were
 Explain how every effort was made to meet those
expectations
 Explain why these expectations cannot be met
 Assurance of makingevery effort to keep patient
comfortable
 Come back again and again to console
Role of Appraisal

 Provide
feedback to
the about
progress of
each team
member

 Identify
opportuniti
es where
coaching
for
improveme
nt may be
required
Communication is an ongoing
learning experience

No matter where you are in your career –


one needs to brush up on the
communication skills

Give the message – “I care about you” !!! It


is very important and goes a long way
towards healing even in impossible situation.

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