Examkin

Question

Difficulty: MediumCollaboration with Interdisciplinary Team

A nurse is initiating an urgent call to the on-call orthopedic provider regarding a change in a client's condition. Arrange the nurse's statements in the correct sequence using the ISBAR (Identify, Situation, Background, Assessment, Recommendation) interprofessional communication framework.

  1. 1This is the registered nurse on the surgical unit calling regarding the client in bed 4.
  2. 2The client is experiencing severe, escalating right leg pain that is unresponsive to the prescribed intravenous analgesics.
  3. 3The client was admitted last night and underwent a closed reduction and circumferential casting of a right tibial fracture.
  4. 4The client's right pedal pulse is faint, capillary refill is delayed at 4 seconds, and there is decreased sensation in the toes.
  5. 5I need a provider to evaluate the client at the bedside immediately for suspected compartment syndrome and potential cast bivalving.

Answer

Identify, Situation, Background, Assessment, Recommendation
The ISBAR framework standardizes interprofessional communication to ensure critical information is conveyed accurately and efficiently. The correct sequence is Identify (who is calling and about whom), Situation (the immediate problem), Background (clinical context), Assessment (objective findings), and Recommendation (requested action). Following this sequence reduces errors and promotes effective collaboration during urgent clinical escalations.

Step-by-Step Solution

1
Determine the 'Identify' statement.
The nurse states their role, unit, and the client.
This establishes who is calling and about whom, which is the necessary first step in any clinical communication.
2
Determine the 'Situation' statement.
The nurse describes the severe, unresponsive leg pain.
This states the immediate, urgent problem prompting the call to the provider.
3
Determine the 'Background' statement.
The nurse provides the history of the tibial fracture and casting.
This gives the provider necessary clinical context for the current problem.
4
Determine the 'Assessment' statement.
The nurse reports the objective findings of poor perfusion and altered sensation.
This shares the vital clinical data the nurse has gathered regarding the acute situation.
5
Determine the 'Recommendation' statement.
The nurse requests an immediate bedside evaluation and cast bivalving.
This clearly communicates what intervention the nurse needs from the provider to ensure client safety.

Key Concept

Interprofessional Communication (ISBAR Framework)
Rate this question

Topics

Collaboration with Interdisciplinary Team

More questions from this topic