CHOOSE ONE OF THESE SCENARIOS AND WRITE AN SBAR FOR IT.

Scenario 1:

Mr. O is 63 years old. He was dizzy and light-headed at home and almost fell. His wife brought him by car to the ER. Mr. O was admitted to AMU with syncope. This is not his first time being admitted to the hospital. He has been treated in the past for congestive heart failure and acute myocardial infarction. He feels like he is pretty healthy as he only takes NSAIDs at home for chronic back pain.

Mr. O got to AMU at 1600. His nurse is Jenny, RN. Jenny, RN assessed him and found his blood pressure 138/84, pulse 76 and regular, and his respiratory rate 16. He is afebrile at 98.6. Mr. O’s labs were normal, but his IV infiltrated during transport. Jenny, RN started a new IV and put a warm compress on the old site. Jenny, RN reported off to Ben, RN at 1900.

At 2130, the PCA found Ben, RN and told him that he had just helped get Mr. O. off the bedpan. Mr. O had a large, black tarry stool and was complaining of not feeling well. Ben, RN went into assess Mr. O. His vital signs were; blood pressure 94/66, pulse 114, and respiratory rate 24. His pulse ox was 97%. He was pale and his skin was clammy.

Ben, RN asked him how he was feeling. Mr. O said he just didn’t feel well and could not get comfortable. He asked if he could have something for his belly. "It is really hurting!" Ben, RN assessed his abdomen and found that it was distended and Mr. O had diffuse abdominal pain. He rated his pain a 6 on a scale of 1-10.

Scenario 2:

Mrs. S is a 72 year old retired school teacher. She lives alone with her dog Ginger and is very independent. She was shoveling snow on Monday morning after the big storm. While shoveling she developed a crushing sensation in her chest. This is not the first time she has had chest pain. Mrs. S has a history of angina, though she has never had a heart attack. She takes an aspirin every day at home and keeps nitroglycerin tabs in her pocket "just in case". Mrs. S took a nitroglycerin tab and an aspirin and drove herself to the hospital. Mrs. S was admitted to the hospital on Monday afternoon with chest pain, rule out myocardial infarction.

She has been a patient on cardiology for 4 days now. She has had no chest pain since Monday and has been ruled out for a heart attack. She has a IV of .9NS at keep open and expects to go home in the morning. At 2200, Mrs. S put her call light on. Her nurse Sue, RN, answered the call light. Mrs. S stated that she was having chest pain and rated it a 9/10 on the pain scale. Sue, RN, had the PCA check her vitals and get an EKG. Sue, RN, went to get her a nitroglycerin tab. Mrs. S blood pressure was 90/52. Her EKG shows ST changes. Her HR was 120. Her breathing was labored at 36 and her pulse ox was 85% on room air. Sue gave Mrs. S a nitroglycerin tab sublingually. There was no relief to her chest pain and her blood pressure decreased to 80/52. Sue, RN, placed Mrs. S on oxygen at 2L and her pulse ox improved to 91%. Mrs. S is very anxious and states she feels terrible.

Scenario 3:

Margie Colby, a 25-year-old primipara, is in the recovery room after a low forceps delivery of a nine pound, two ounce, term male. Although this was an unplanned pregnancy, Margie and her husband adjusted to the idea, and are now very excited parents. Margie plans to breast feed the baby.

Forty-five minutes after delivery, Margie’s vital signs are BP 100/60, pulse 88 and respirations 16. Her fundus is firm and is at level of umbilicus, no clots observed. She has continuous trickle of bright red lochia. No change in perineal edema, ice pack applied and peripads changed. Peripads and chux weight indicate 300cc of blood loss.

Fifteen minutes later the fundus is massaged and remains firm at umbilical level and midline. A constant trickle of bright red lochia persists with no clots expressed. Peripads and Chux weighed showing and additional 200 cc blood loss. Vital signs are now BP 90/52, pulse 110 and respirations 20.

Answer:

SBAR report is as follows:

Explanation:

S – Hi doctor, I am Ben, RN on AMU this side. I am currently caring for your patient Mr. O. I am concerned  because his vitals have changed and he has sudden abdominal pain with distention.  

B – Patient was admitted for syncope. Has a history of CHF and acute MI. Only medications patient  reports to take is the occasional NSAID for chronic back pain.  

A – The PCA reported to me that Mr. O is having black, tarry stools. He is having abdominal pain that he  rates as a 6 out of 10 and there is distention present. BP 94/66, pulse 114, and RR of 24, O2 is 97%. He   says he cannot get comfortable and is feeling unwell.  

R – I recommend that you come see the patient immediately, and that we remove any orders for NSAID   use and instead switch to a non NSAID such as acetaminophen. Fluids should be started to counteract  hypotensive state. Do you want any tests or labs done such as an abdominal CT scan or type and screen?

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C. Emergency care is generally used to treat specific illnesses.
D. Patients might receive treatment from a physician who isn't
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A.
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B.
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C.
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2. provides low cost health insurance to the elderly

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4. approves new drugs for
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O product conception
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O product development
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What is the combined primary function of the respiratory and circulatory systems?
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b. Supply nutrients and remove waste products from the digestion of food.
c. Protect the body from infection and regulate temperature.
d. Continuously supply body tissues and cells with oxygen.

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c. Rapid defibrillation to the heart.
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You should use the principle of rest and recovery when training for muscular strength and only complete these workouts two or three times a week.

True
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O A. Good emergency medical technicians would know to leave care of
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