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vSIM ISBAR ACTIVITY STUDENT WORKSHEET
 Li Na Chen Part 1: Admission Li Na Chen Part 2: Discharge
INTRODUCTION/IDENTIFICATION
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Identify your name, position
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SITUATION/SUBJECT
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State patient’s name, age, reason for admission
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BACKGROUND
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State patient’s primary diagnosis, past history of suicidal or self-harm behaviors, allergies, current orders.
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ASSESSMENT
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State significant finding of this shift’s bio-psycho-social assessment (include self-harm/other harm, change in functioning, appetite, sleep, ability to complete ADLs, and noted psychosis), pertinent diagnostics (labs, procedures, etc.), vital signs, any PRN medications given during the shift and outcome.
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RECOMMENDATION
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State any recommendations, nursing interventions, or orders that may need to be addressed.
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SCIENCE
HEALTH SCIENCE
NURSING
NRS 3016