A nurse is preparing to contact the healthcare provider to report a sudden change in a client's condition. The client was admitted with a right femur fracture and has unexpectedly developed severe shortness of breath. Arrange the nurse's statements in the correct chronological order according to the SBAR (Situation, Background, Assessment, Recommendation) communication tool.
- 1"This is Nurse Kelly on the orthopedics unit calling about the client in room 410, who is experiencing sudden shortness of breath."
- 2"The client was admitted yesterday following a right femur fracture and has a medical history of asthma."
- 3"The current oxygen saturation is 88% on room air, the respiratory rate is 28 breaths per minute, and the client appears highly anxious."
- 4"Would you like me to apply supplemental oxygen, and can you come evaluate the client immediately?"
Answer
The correct SBAR sequence is: 1) Situation (identifying caller, patient, and immediate issue), 2) Background (admission reason and relevant history), 3) Assessment (current vitals and clinical findings), and 4) Recommendation (requesting orders or provider evaluation).
The SBAR tool provides a standardized framework for effective interprofessional communication. 'Situation' immediately alerts the provider to the primary concern. 'Background' gives the necessary clinical context. 'Assessment' provides the current data supporting the concern. 'Recommendation' clearly states what intervention or action is needed from the provider to ensure client safety.
Step-by-Step Solution
Key Concept
SBAR Communication Framework in Interdisciplinary Collaboration