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7 Escalating Concerns
Tom Walvin
University of Plymouth, UK
Chapter Aim
The aim of this chapter is to introduce the reader to the methods that may be used when escalating concerns about a patient.
Learning Outcomes
By the end of this chapter, the reader will be able to:
Describe the role of the nursing associate in escalating concerns about a patient
Use a structured method to escalate concerns
Discuss the challenges of communication when escalating concerns about a patient
Test Yourself Multiple Choice Questions
1 What does ‘SBAR’ stand for?Situation, Background, Assessment, ReactionSafety, Background, Assessment, Ring for HelpScene, Background, Assessment, RespondSituation, Background, Assessment, Recommendation
2 In an acute hospital in the United Kingdom, which number can be called to summon emergency medical help for a patient?999922229993333
3 If concerned about a patient after completing an assessment, which healthcare professional could the nursing associate first escalate concerns to for clinical decision‐making and advice?Junior doctorSpeciality registrarRegistered nurseContinue to manage the patient yourself
4 What does ABCDE stand for in the context of deteriorating patient care?Airway, Breathing, Circulation, Deformity, EscalateAirway, Breathing, Circulation, Disability, EscalateAirway, Breathing, Circulation, Deformity, ExamineAirway, Breathing, Circulation, Disability, Exposure
5 Where can detailed information about the patient’s admission assessment, tests and initial diagnosis be found?Medical notesNursing handover sheetNursing care record summaryAmbulance clinical record
Introduction
The Nursing and Midwifery Council