Preview

SBAR Prof Com IV Copy

Satisfactory Essays
Open Document
Open Document
741 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
SBAR Prof Com IV Copy
Professional Communication Level IV
SBAR Scenarios Assignment
Scenario 1
Dr. House, my name is Jet, I am the nurse caring for Mrs. Cotton in Riverway wing room number 337
S - I received an order for MRI, however she has elevated creatinine level and I would like to clarify the order with you
B - Mrs. Cotton came with a chief complain of excruciating chest pain and dyspnea and
MRI was ordered to rule out the reason for increased intracranial pressure
A - Her creatinine level is 2.9, not in the normal range allowable for any radiologic examinations R - I think that we can proceed with an MRI after his creatinine level is back to normal range Scenario 2
S - Dr. Holmes this is Jet, a nurse from Med/Surg at CHCMH. I’m calling about Mrs.
Lara’s respiratory status. She started to get shortness of breath about 30 minutes ago.
Her vital signs are normal except RR: 26 breaths per minute
B - Mrs Cotton is a 23 year old who undergone subtotal thyroidectomy yesterday and has no history of respiratory or heart problems. She is alert, and oriented to place and time, and complaining of sudden difficulty of breathing.
A - The patient is in orthopneic position, with hoarse voice, no pain reported. Vital signs are as follows: BP: 130/90, HR: 88 bpm, strong on all pulse sites, capillary refill of 3 seconds. RR: 26 breaths/minute, no adventitious sounds heard upon auscultation, O2 saturation: 96%, Temp: 36.9˚C by tympanic. Skin is dry and cold to touch. Im not sure whats the problem is but I wonder if she is having laryngeal spasm which causes airway obstruction, her vital signs except her RR are within normal range however it might become unstable later on and we need to do something.
R - I would like you to come and see the patient immediately and we start her on
Oxygen therapy stat? Are there any exams or labs you like to order? let me repeat back what you have said:
-oxygen by facemask to keep oxygen saturation about 96%, keep tracheostomy tray at bedside and you will be up to see

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Nursing 135

    • 538 Words
    • 3 Pages

    doctor. She ordered a modified barium swallow study and referral for speech - language pathologist, OT (occupational…

    • 538 Words
    • 3 Pages
    Satisfactory Essays
  • Better Essays

    Past Medical history includes : Essential Hypertension, Cardiac pacemaker, Coronary Artery Disease, Dyspnea, Sensiosenural hearing loss, Restless legs, headache, acute hypothyroidism due to radiation, Mandible Cancer, Pseudophakia of both eyes, Posterior vitreous detachment, malnutrition, Generalized weakness, Smoker of 2 packs of cigarettes per day for 30 years.…

    • 2161 Words
    • 10 Pages
    Better Essays
  • Better Essays

    ASSIGNMENT 1 For Medsurg

    • 1009 Words
    • 4 Pages

    hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min…

    • 1009 Words
    • 4 Pages
    Better Essays
  • Better Essays

    Med Surg Paper

    • 6804 Words
    • 28 Pages

    Past medical history includes hypertension, asthma, hyperlipidemia, coronary artery disease in which she suffered a myocardial infarction in 2006 and received cardiac catherization, transient ischemic attack, and…

    • 6804 Words
    • 28 Pages
    Better Essays
  • Better Essays

    Case Study

    • 937 Words
    • 4 Pages

    Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time, she seems slightly short of breath, but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you that she has been complaining of feeling more tired in the evenings & “unable to catch her breath”. While at home, she has been sitting up either in an easy chair or in bed with three pillows. Her daughter states that Mrs. Lee has not had to urinate as much in the last 2 days, but she gets up twice each night to use the bathroom.…

    • 937 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Patrick Platt

    • 413 Words
    • 2 Pages

    GENERAL: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. Vital signs: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.…

    • 413 Words
    • 2 Pages
    Powerful Essays
  • Satisfactory Essays

    Bc3030 Wk 2 Coding Test

    • 3739 Words
    • 15 Pages

    controlled asthma and/or smoking. It would be nice to see what it is when she is as well…

    • 3739 Words
    • 15 Pages
    Satisfactory Essays
  • Satisfactory Essays

    H&P Report

    • 306 Words
    • 2 Pages

    PHYSICAL EXAMINATION: VITAL SIGNS: Afebrile, blood pressure 155/98, heart rate 69. GENERAL: He is in no acute distress, alert and oriented x4. HEENT: mucous membranes moist no facial asymmetry. Left ear WNL, right ear with profound hearing loss. LUNGS: Clear to oscultation and percussion bilaterally, CV normal, S-1 S-2 without murmurs or rubs. GI: Soft, non-tender, non-distended no HSM. Positive bowel sounds. GENITALIA: deferred. EXTREMETIES: No edema. Has been admitted for left ankle surgery. UROLOGIC: Intact with the exception of cranial nerve ink on the right. LABS: CVC within normal range. Pre-op glucose 239, BUN 8, creatinine 0.5.…

    • 306 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Gloria Scene Analysis

    • 1344 Words
    • 6 Pages

    NURSE: Here you go Ms. Fleming, here is your room. It has the standard accommodations of all of patients here. If there’s something you do not like or something that you need just ring this bell here, and I’ll hurry to assist you.…

    • 1344 Words
    • 6 Pages
    Good Essays
  • Good Essays

    She had the back problems as above. Has migraine headaches since about 10. Has had about 4 in the last 2 years, not very frequent. She has a history of asthma. No other chronic problems.…

    • 937 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Patient 1: Seven-year old male exhibiting fatigue, muscle weakness, low endurance, loss of coordination, and progressive difficulty walking.…

    • 528 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    PHYSICAL EXAMINATION: This is a chronically ill-appearing female, alert, oriented, and cooperative. She moves with great difficulty because of fatigue and malaise. VITAL SIGNS: Blood pressure 107/80. Heart rate 100 and regular. Respirations 22. HEENT: Normocephalic. No scalp…

    • 604 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    PHYSICAL EXAM: BP, 146 over 70. P-60 and regular. In general, this is the most pleasant Caucasian male patient who appears to be in no acute distress. HEENT, one eye not visualized. He is deaf and wears bilateral hearing aids. The main jugular vein pressure is normal. Carotids are three plus bilaterally without bruits. Chest symmetric. Lungs are clear to osculation and procussion…

    • 428 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Pre Eclampsia

    • 2089 Words
    • 9 Pages

    Admission assessment by the nurse reveals: today's weight 182 pounds, T 99.1° F, P 76, R 22, BP 138/88, 4+ pitting edema, and 3+ protein in the urine. Heart rate is regular, and lung sounds are clear. Deep tendon reflexes (DTRs) are 3+ biceps and triceps and 4+ patellar with 1 beat of ankle clonus.…

    • 2089 Words
    • 9 Pages
    Good Essays
  • Satisfactory Essays

    Epilepsy Case Criteria

    • 467 Words
    • 2 Pages

    In which case, we will check a Keppra level this week and I will plan to see her back in clinic in about two weeks. In the meanwhile, I recommended to her that she take her medication religiously and not miss doses so she does not have a seizure and injure herself worse than she did this time. She verbalized understanding of that. I did advise her that the episode is unrelated to her thyroid disorder. She knows she can kite or sign up for sick call if she needs…

    • 467 Words
    • 2 Pages
    Satisfactory Essays