An acute care nurse is structuring a verbal report to the on-call surgical team regarding a client who is deteriorating rapidly. The client underwent a routine colonoscopy with polypectomy earlier in the shift and has now developed a rigid abdomen and fever. Organize the following statements into the correct chronological sequence using the Situation, Background, Assessment, and Recommendation (SBAR) interprofessional communication framework.
- 1"Dr. Smith, this is the staff nurse on the surgical unit. I am calling about the client in bed 4 who just developed acute, severe abdominal pain and guarding."
- 2"The client was admitted this morning and underwent a colonoscopy with the removal of three adenomatous polyps approximately four hours ago."
- 3"Current vital signs are blood pressure 88/54 mm Hg, heart rate 124 beats/min, and temperature 101.8°F (38.8°C). I suspect the client may have sustained a bowel perforation."
- 4"I need you to come to the bedside to evaluate the client right away, and I recommend initiating orders for aggressive intravenous fluid resuscitation."
Cevap
The correct sequence follows the standard SBAR framework: Situation (introducing the immediate problem of acute abdominal pain), Background (noting the recent colonoscopy), Assessment (reporting vital signs and suspecting perforation), and Recommendation (requesting bedside evaluation and fluids).
The SBAR framework prioritizes efficient and accurate interdisciplinary communication. The correct sequence is: Situation (stating the immediate problem), Background (providing relevant historical context), Assessment (sharing objective data and clinical impressions), and Recommendation (requesting specific actions). This sequence ensures the provider immediately understands the urgency before processing the details.
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SBAR Interprofessional Communication Framework