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Zorluk: ZorCollaboration with Interdisciplinary Team

A nurse is conducting an interdepartmental transfer handoff for a 45-year-old client with a C5 spinal cord injury who is moving from an acute neurotrauma unit to an inpatient rehabilitation facility. Using the Identify-Situation-Background-Assessment-Recommendation (I-SBAR) communication tool, arrange the nurse's statements to the receiving interdisciplinary team (rehabilitation physician, physical therapist, occupational therapist, and social worker) in the correct sequence.

  1. 1This is the primary nurse from the neurotrauma step-down unit, initiating the transfer handoff for the client being admitted to the spinal cord injury rehabilitation program.
  2. 2The client is a 45-year-old who is transferring to your facility today for comprehensive multidisciplinary rehabilitation following a C5 complete spinal cord injury.
  3. 3Following the initial trauma, the client underwent an anterior cervical discectomy and fusion, was successfully weaned from mechanical ventilation, and has a newly established neurogenic bowel regimen.
  4. 4Currently, the client's vital signs are stable, but there are intermittent episodes of autonomic dysreflexia that resolve with prompt bladder catheterization.
  5. 5The receiving team should prioritize physical and occupational therapy evaluations for a customized power wheelchair, while social services must engage the family regarding long-term structural home modifications.

Cevap

The correct sequence follows the I-SBAR protocol: Identify, Situation, Background, Assessment, and Recommendation.
The correct sequence logically follows the I-SBAR communication framework. The nurse first identifies themselves (Identify), states the immediate purpose of transferring the client (Situation), outlines the clinical history including surgery (Background), provides current clinical data regarding autonomic dysreflexia (Assessment), and finally requests specific evaluations from allied health professionals (Recommendation).

Adım Adım Çözüm

1
Determine the 'Identify' component.
The statement where the primary nurse introduces themselves and their unit.
The I-SBAR framework begins by establishing the identity of the communicating parties.
2
Determine the 'Situation' component.
The statement describing the transfer of the 45-year-old client with a C5 spinal cord injury.
The situation concisely states the immediate reason for the communication.
3
Determine the 'Background' component.
The statement detailing the anterior cervical discectomy and mechanical ventilation weaning.
The background provides the historical clinical context leading up to the current situation.
4
Determine the 'Assessment' component.
The statement regarding stable vital signs and episodes of autonomic dysreflexia.
The assessment provides current clinical data, active issues, and present patient status.
5
Determine the 'Recommendation' component.
The statement directing therapy evaluations for a wheelchair and social services engagement.
The recommendation outlines actionable requests for the interdisciplinary team.

Anahtar Kavram

The I-SBAR (Identify, Situation, Background, Assessment, Recommendation) framework is a standardized interprofessional communication tool designed to ensure accurate, concise, and structured information exchange during transitions of care.
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Collaboration with Interdisciplinary Team

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