A neonatal intensive care unit (NICU) nurse is providing an interdepartmental SBAR (Situation, Background, Assessment, Recommendation) handoff report to a pediatric rehabilitation nurse. The client is a 6-month-old infant transitioning to the rehabilitation unit for complex care management. Arrange the nurse's communication statements in the correct chronological sequence according to the SBAR protocol.
- 1"This is Nurse Martinez from the NICU providing the transfer report for Baby Leo, a 6-month-old infant who is being admitted to your pediatric rehabilitation unit for multidisciplinary discharge coordination and extensive caregiver training."
- 2"He was born prematurely at 26 weeks gestation and developed severe bronchopulmonary dysplasia. His clinical course necessitated the surgical placement of a tracheostomy and a gastrostomy tube three weeks ago due to prolonged ventilator dependence and failure to thrive."
- 3"His vital signs are currently stable on a heated tracheostomy collar at 30% FiO2, and he is tolerating continuous enteral feedings well; however, my primary concern is his profound oral aversion and significant global gross motor delays."
- 4"Upon his arrival, I strongly advise prioritizing a joint evaluation by the pediatric pulmonologist and the speech-language pathologist to establish his respiratory baseline and initiate targeted feeding therapy with his parents."
Answer
The correct sequence follows the SBAR protocol: Situation (identifying the client and reason for transfer), Background (medical history and recent procedures), Assessment (current clinical status and active concerns), and Recommendation (actionable requests for the receiving interdisciplinary team).
The SBAR communication model requires a chronological and logical flow of information. It begins with the Situation (who is calling and why), followed by the Background (relevant medical history and past procedures). Once context is established, the nurse provides the Assessment (current objective data and clinical impressions), and concludes with the Recommendation (actionable requests and necessary interdisciplinary referrals). This sequence prevents vital clinical details from being overlooked during complex interdepartmental transfers.
Step-by-Step Solution
Key Concept
The SBAR protocol provides a standardized framework for interprofessional communication. Accurate categorization of clinical data ensures safe and comprehensive transitions of care, particularly for clients with complex multisystem needs.