A nurse is preparing to contact a healthcare provider regarding a client whose respiratory status has suddenly deteriorated. Arrange the nurse's planned statements in the correct chronological order according to the standard SBAR (Situation, Background, Assessment, Recommendation) communication tool.
- 1"Hello Dr. Smith, this is Nurse Taylor on the medical unit. I am calling about Ms. Chen in Room 310, who is experiencing acute, worsening shortness of breath."
- 2"She was admitted two days ago for treatment of community-acquired pneumonia and has a documented history of severe asthma."
- 3"Over the last hour, her oxygen saturation has dropped from 95% to 86% on room air, and her respiratory rate has increased to 30 breaths per minute with audible wheezing."
- 4"I believe she is having a severe asthma exacerbation. Could you prescribe a stat albuterol nebulizer treatment and come evaluate her immediately?"
Cevap
The correct sequence is: Situation, Background, Assessment, and Recommendation.
The SBAR tool is universally structured to quickly and safely convey critical client information to the interdisciplinary team. It must follow the strict chronological sequence of Situation (what is happening right now), Background (what led to this), Assessment (what the nurse observes), and Recommendation (what needs to be done).
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Anahtar Kavram
SBAR is a standardized framework used to improve communication and safety among the interdisciplinary healthcare team during client handoffs and critical escalations.