Clinical Assistant Professor, Cumming School of Medicine
Alberta Children's Hospital
2888 Shaganappi Trail NW
Calgary, AB T3B 6A8
My current research project aims at improving the closed loop communication between inpatient nurses and junior residents. In 2012, a working group of hospital pediatricians and trainees developed the SOAP MD tool to try to mitigate communication challenges between nurses and trainees related to patient assessments. "SOAP", a well-known healthcare documentation method was used as a starting point. "Make a circle" closes the loop with 6 useful questions: what should the RN watch for? When should the RN call? Who else should know (ie. more senior trainees, staff pediatrician)? When are you going to reassess? Do you and the RN agree on a plan? Has the family been updated (if indicated)? D is for Document. Anonymous qualitative surveys were completed before and after the tool was taught asking nurses if junior residents answered these questions. The pre-surveys indicated strong deficiencies. The post-surveys showed all assessed deficiencies resolved. The project was repeated in 2013. Feedback from the trainees was positive and they recommended teaching the tool at the beginning of training.