Friday, August 1, 2014

Enhancing Communication through CHATs

CHAT stands for Communicating Health Assessments by Telephone. It is a quality improvement program to enhance telephone communication between the nurse and the physician.
CHATs are point-of-care decision support tools adapted from the 2004 American Medical Director’s Association (AMDA) protocols. They represent 16 common clinical problems found in long term care settings. The common conditions include:
  • Abdominal Pain           
  • Agitation
  • Confusion     
  • Altered Mental Status  
  • Bloor pressure     
  • Low Blood Pressure    
  • Chest pain     
  • Constipation     
  • Diarrhea     
  • Dizziness/Unsteadiness   
  • Dyspnea/Shortness of Breath   
  • Fall      
  • Fever      
  • Hyperglycemia    
  • Hypoglycemia     
  • Musculoskeletal Complaint   
  • Nausea or Vomiting    
  • Urinary Complaints or Positive urinalysis
Each CHAT is designed to identify pertinent information that needs to be assessed and communicated for the specific clinical issue. The tools focus on the questions needing to be answered and the examinations needing to be conducted before calling the physician.
visit the AHCA/NCAL website. Learn how to use CHATs, and access each CHAT by medical condition.

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