A staff nurse on a surgical unit is preparing to contact the rapid response team regarding a young adult client who is 24 hours postoperative following an open appendectomy. The client has suddenly developed tachycardia and abdominal rigidity. The nurse uses the SBAR (Situation, Background, Assessment, Recommendation) communication framework. Arrange the nurse's statements in the correct chronological sequence according to the SBAR protocol.
- 1"This is the registered nurse on the surgical unit calling regarding the client in room 310 who has developed sudden, severe abdominal pain and a heart rate of 128 beats per minute."
- 2"The client underwent an open appendectomy 24 hours ago and had an uneventful recovery with well-controlled pain until this recent episode."
- 3"On examination, the client's abdomen is board-like and rigid. I am concerned about a potential acute surgical complication such as peritonitis."
- 4"I need the rapid response team to evaluate the client immediately, and I will prepare for potential fluid resuscitation and stat diagnostic imaging."
Cevap
The correct sequence follows the SBAR protocol: Situation, Background, Assessment, and Recommendation.
The SBAR framework mandates a specific sequence to optimize interprofessional communication, particularly during emergencies. 'Situation' immediately orientates the listener to the problem. 'Background' provides necessary historical context. 'Assessment' offers the nurse's objective findings and clinical judgment. Finally, 'Recommendation' clearly states the required action, ensuring all team members are aligned on the next steps for client safety.
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Anahtar Kavram
The SBAR communication tool is a standardized framework used by the interdisciplinary team to ensure clear, concise, and accurate handoffs and escalations of care.