Question
Asked by PresidentCrane2431
Communicating in the clinical setting, as well as the educational setting requires clear and concise communication. The SBAR format helps you organize your thoughts and the situation, but it also provides a reference when communicating with others, particularly those in higher organizational positions.
SITUATION (why you are calling),
BACKGROUND (Clinical facts concerning the situation),
ASSESSMENT (provide relative assessment data for the situation).
RECOMMENDATION (suggest or request an action to improve the situation).
You just got report and it’s 1900. You need to call the provider for your 68yo patient James Johnson. He is at the rehab facility for a fractured femur. He has been coughing at night, keeping him awake and causing drowsiness the following day. He missed his physical therapy session today because he reported he is too tired. The cough is a dry, persistent cough that significantly increases at night. In fact, he reports it has occurred every night since arriving. He is asking for something to stop the cough so he can sleep. James currently has orders for a narcotic pain medication, blood pressure medication, and a nicotine patch. His BP was 111/78 and Oxygen saturation was 96% (both normal). His lungs are clear and he does not have any shortness of breath. The day nurse asks “Do you think you could call the provider?” The day nurse apologizes for not addressing it with the Provider and states “But he never coughed all day, and I forgot.”
SCIENCE
HEALTH SCIENCE
NURSING
LPN 001
