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Difficulty: MediumCollaboration with Interdisciplinary Team

A nurse is using the SBAR (Situation, Background, Assessment, Recommendation) communication tool to report a client's sudden clinical deterioration to the on-call physician. Arrange the nurse's planned statements in the correct chronological sequence according to the SBAR interprofessional handoff framework.

  1. 1"Dr. Lee, this is Nurse Chen calling regarding the client in room 402 who has developed sudden shortness of breath and acute chest tightness."
  2. 2"The client was admitted two days ago for intravenous antibiotic treatment of community-acquired pneumonia and has a documented medical history of essential hypertension."
  3. 3"Current vital signs show a blood pressure of 88/54 mm Hg, heart rate of 124 beats per minute, and oxygen saturation of 89% on room air; the client appears to be experiencing acute respiratory distress and potential shock."
  4. 4"I need you to come to the bedside to evaluate the client immediately, and I would like an order to initiate supplemental oxygen and obtain a stat 12-lead electrocardiogram."

Answer

The correct sequence for the SBAR interprofessional communication tool is: Situation, Background, Assessment, and Recommendation.
The SBAR framework is an evidence-based standard for interprofessional communication designed to eliminate communication breakdowns. It strictly follows the sequence of Situation (what is happening now), Background (what led to this point), Assessment (what the nurse thinks the problem is based on current data), and Recommendation (what actions are needed to resolve the problem).

Step-by-Step Solution

1
Identify the 'Situation' component.
The statement introducing the nurse, client, and the chief complaint of sudden shortness of breath is selected as the first step.
Effective interprofessional collaboration requires immediately orienting the receiver to who is calling, about whom, and the urgent problem.
2
Identify the 'Background' component.
The statement detailing the admission for pneumonia and history of hypertension is placed second.
Once the problem is stated, the provider needs a brief clinical context to understand the baseline status of the client.
3
Identify the 'Assessment' component.
The statement reporting the current vital signs (hypotension, tachycardia, hypoxia) and clinical suspicion is placed third.
After providing context, the nurse delivers the most up-to-date objective findings and their critical thinking synthesis of the client's current physiological state.
4
Identify the 'Recommendation' component.
The statement requesting an immediate bedside evaluation and initial orders is placed last.
The communication must conclude with a clear, actionable request to the interdisciplinary team member to ensure patient safety.

Key Concept

SBAR Interprofessional Communication Protocol
Estimated Time:1m 0s
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Topics

Collaboration with Interdisciplinary Team

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