Critical Care Time

46. From Chaos to Clarity: Effective Communication in the ICU

6 snips
Apr 7, 2025
Genae Christensen, an MS-2 at the University of Utah School of Medicine and a critical care flight nurse, shares her expertise on communication in the ICU. She discusses the importance of minimizing misunderstandings, particularly the authority gradient and how to navigate it. Genae emphasizes structured communication systems, like SBAR, to enhance clarity and safety. She draws parallels between aviation and healthcare, showcasing how thorough communication can lead to better patient outcomes in high-pressure situations.
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ADVICE

Effective Communication Under Pressure

  • Assume good intentions and prioritize patient safety in communication.
  • Recognize authority gradients for decisions, but seek information mutually.
INSIGHT

Authority, Insecurity, and Communication

  • Physicians often identify as decision-makers, creating discomfort when challenged.
  • Bedside nurses may have more experience with specific scenarios, offering valuable insights.
ADVICE

Effective Debriefing Strategies

  • Create safe spaces for debriefing to encourage thoughtful reflection.
  • Acknowledge own fallibility and start by discussing what went right.
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