NCLEX-PN

Communication Tools Providing and receiving reports on clients is an important part of ensuring continuity of care in nursing. Hand-off communication is utilized anytime the nurse is passing care of the client to another nurse, department, or facility. Effective communication between different nursing shifts is essential for providing safe and quality client care. Including the client in the hand-off process enables them to take an active part in their care. To ensure a seamless handoff from one nursing shift to the next, different

standardized “handoff” tools have been developed. These include the: ●​ SBAR (Situation, Background, Assessment, Recommendation) ●​ ONE-TO-TWO PASS (providing both written and oral report) ●​ PIE/SBAR (Problem, Intervention, Evaluation/Situation,

Background,

Assessment,

Recommendation)

●​ ISBAR (Introduction, Situation, Background, Assessment, Recommendations) ●​ BATON (Background, Actions, Timing, Ownership, Next) ●​ The Five Ps (Patient, Plan, Purpose, Problems, Precautions) ●​ IPASS (Introduction, Client, Assessment, Situation, Safety concerns). ●​ Call-out is used to communicate critical information ●​ Check-Back Closed-Loop Communication to ensure that information conveyed by the sender is understood by the receiver as intended

Nurses should not only provide detailed assessments of their clients to the oncoming shift but should also inquire about any reported changes in the client's condition. They should also be open to the assessments provided by the other nursing staff members and be willing to discuss and address any

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