When calling a physician, the nurse tells the physician her name, what unit and what hospital she is calling from, the client's name, and that the client is having trouble breathing
The nurse is demonstrating which step in the SBAR format for communicating with a client's physician?
a. Situation
b. Assessment
c. Background
d. Recommendation
ANS: A
An example of the situation component of SBAR reporting is: "Dr. Preston, this is Wendy Obi, evening nurse on 4G at St. Simeon Hospital, calling about Mr. Lakewood, who's having trouble breathing." An example of the assessment component of SBAR reporting is: "I don't hear any breath sounds in his right chest. I think he has a pneumothorax." An example of the background component of SBAR reporting is: "Kyle Lakewood, DOB 7/1/60, a 53-year-old man with chronic lung disease, admitted 12/25, who has been sliding downhill × 2 hours. Now he's acutely worse: VS heart rate 92, respiratory rate 40 with gasping, B/P 138/94, oxygenation down to 72%." An example of the recommendation component of SBAR reporting is: "I need you to see him right now. I think he needs a chest tube."
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