While caring for a client on a medical-surgical unit, a practical/vocational nurse (LPN/VN) identifies an acute change in the client's condition. The nurse must escalate these findings to the supervising Registered Nurse (RN) using the SBAR framework. Arrange the nurse's verbal statements in the correct sequence for this communication model.
- 1"I am contacting you regarding the client in room 312, who is currently experiencing a sudden onset of chest pain and shortness of breath."
- 2"The client was admitted yesterday for management of a deep vein thrombosis and has an active history of coronary artery disease."
- 3"My recent data collection shows a heart rate of 115 beats per minute, an oxygen saturation of 89% on room air, and the client appears visibly anxious."
- 4"I recommend that you come to evaluate the client immediately, as we may need to initiate a rapid response call."
Answer
The correct communication sequence following the SBAR framework is: Situation (stating the immediate problem), Background (providing medical history), Assessment (reporting current vital signs and data), and Recommendation (requesting immediate evaluation).
The SBAR framework is a standard method for collaborative interprofessional communication. It requires the nurse to first state the immediate Situation to ensure the receiving party understands the urgency. Next, the Background is provided to offer clinical context. This is followed by the Assessment, which includes current data collection and objective findings. Finally, the nurse provides a Recommendation or request for action to address the problem effectively.
Step-by-Step Solution
Key Concept
The SBAR (Situation, Background, Assessment, Recommendation) framework is a standardized method for interprofessional communication that ensures clear, concise, and focused sharing of critical client information.