Ideas for better cooperation | examples |
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Mutual accessibility | • use of faxes: obligatory processes, standardised forms, notation on urgency • establish telephone consulting hours for the GP • acute telephone calls: availability of mobile number of GP • contact nurse in the nursing home: competent, informed, skilled, cross-shift, one mobile phone per living area (residential unit) |
Fix date for GP’s visit | • fixed date: nursing home sets date, fixed weekday, timing of a 30 min period of time • announcements and arrangements: via fax, timely cancellation of date by GP • central telephone number in nursing home for information transfer |
Preparation Company during GPs’visits Postprocessing | • prior to visit: communication via fax, nurse compiles and prepares records, (standardised) prioritisation of inquiries • preparation: chart round by GP and nurse • resident visit: preferably with nurse, standardised documentation • postprocessing: realisation in the responsibility of the nurse • soft skills: reliability, trust, openness, agreements, sufficient time |
Transparency Definition of tasks | • regular exchange of medical information • periodical assessment of diagnosis and therapy (GP) • reliable/competent reporting (nurse) • name badges • clarification of responsibilities and expectations • information about processes in the nursing home and GP practice |
Appreciation and respect | • mutual respect, trust, tolerance of mistakes • establishment of a communication culture • acknowledgement of nurse /GP competencies (feedback, enough time, listening, GP asks for suggestions from nurses) • to be on equal level, provision of patient care in partnership |