Documentation: SBAR Lab Assignment Use the SBAR template to assignment. Below is a brief review o. Question
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Documentation: SBAR Lab Assignment
Use the SBAR template to assignment. Below is a brief review of SBAR. On page two (2) is your assignment
Communicating with SBAR
The SBAR (situation, background, assessment and recommendation) tool is provided below to aid in facilitating and strengthening communication between nurses and prescribers throughout the implementation of this quality improvement initiative. Hypothetical examples utilizing SBAR pertaining to the collection of urine or respiratory specimens for bacterial culture are included.
What is SBAR?
Below is a description obtained from the Institute for Healthcare Improvement.
S = Situation (a concise statement of the problem)
B = Background (pertinent and brief information related to the situation)
A = Assessment (analysis and considerations of options—what you found/think) R = Recommendation (action requested/recommended—what you want)
Example: Collecting Respiratory Specimens for Bacterial Culture
Situation: State who you are calling about and why. o This is Mr. XYZ’s nurse in Unit XX Rm00 calling about the sputum culture order.
Background: State briefly what you know about the history and the current status. o XYZ was admitted three days ago with a stroke.
Assessment: State what you think the problem is and/or the severity. o The patient had a temperature of 38.0°C overnight and has an increased white count today. His respiratory status has not changed and his CXR is clear. He does have a new rash on his back.
Recommendation: State what you think needs to happen for the patient. o Based on the respiratory culture algorithm, the patient does not have an indication for a respiratory culture. If you agree, I will not collect sputum for culture at this time. Would you be able to examine the rash? Will the patient need any other work up?
Example: Collecting Urine Specimens for Bacterial Culture
Situation: State who you are calling about and why. o This is Mr. XYZ’s nurse in Unit XX Rm00 calling about the urine culture order.
Background: State briefly what you know about the history and the current status. o XYZ is POD#15 status post ex-lap for volvulus.
Assessment: State what you think the problem is and/or the severity. o The patient is hypotensive and complains of abdominal pain. He denies symptoms of UTI. He is afebrile. He is on heparin for his PICC-related DVT.
Recommendation: State what you think needs to happen for the patient. o Based on the urine culture algorithm, the patient does not have an indication for a urine culture. If you agree, I will not collect the urine for culture at this time, and request that you please cancel the urine culture order. Will the patient need any additional work up? Should I continue the heparin drip?
SBAR assignment A
Meet the Client: L.C
L.C. is a 78-year-old man with a 3-year history of Parkinson disease (PD). He is a retired engineer, married, and living with his wife in a small farming community. He has 4 adult children who live close by. Since his last visit to the clinic 6 months ago, L.C. reports that his tremors are “about the same” as they were. However, further questioning reveals that he feels his gait is a little more unsteady and his fatigue is slightly more noticeable. L.C. is also concerned about increased drooling. Among the medications L.C. takes are carbidopa-levodopa 25/100 mg (Sinemet) and pramipexole (Mirapex) 0.5 mg, each three times daily. On the previous visit the Sinemet was increased from 2 to 3 times daily. He reports that he has become very somnolent with this regimen and that his dyskinetic movements appear to be worse just after taking his carbidopa-levodopa (Sinemet).
SBAR assignment B
Meet the Client: B.M
B.M., a 22-year old female, saw her primary health care provider 1 week ago because she had a mole on her right arm “that started changing.” For years, the mole was flat and brown; over a period of several weeks recently, B.M. reports that the mole became slightly raised with irregular borders and changed to a blackish color. The provider noted the presence of a hard, non-tender mass in B.M.’s right axillary region. B.M. has a fair complexion, red hair, and blue eyes. She says that as a child, she had a bad sunburn at least once every summer but reports that she now uses sunscreen regularly. B.M. states that an uncle and a few cousins have had skin cancer, but it was “not the bad kind.” She has come to the dermatologist’s office today for further assessment.
SCIENCE
HEALTH SCIENCE
NURSING
NRG 2001
Documentation: SBAR Lab Assignment Use the SBAR template to assignment. Below is a brief review o
