The Charge RN to PCC (seated) report in the ED – PCC office demonstrated 4/5 of the key features of expert communication including ; i) face to face interaction, ii) opportunity to ask and answer questions, iii) use of minimum data sets, iv) discussion of intention going forward and v)* use on anticipatory questions. (Parke & Mishkin 2005 / *Hill 2010) The joint focus of attention (Frankel 2012) was also noted.
The PCC & Charge nurses were communicating to the PCC in roughly in the same order as IDRAW
I – Identify patient (2 identifiers) and MRP D – Diagnosis / Problems (Sick – Not Sick ?) R – Recent changes in last few hours / days A – Anticipated changes W – What to watch for
This group (PCCs/ Charge RNs) are the logical group to train (as trainers) in CRM and effective handover communication