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Zorluk: KolayCollaboration with Interdisciplinary Team

A nurse is preparing to telephone the healthcare provider to report a client's abnormal laboratory result. Arrange the nurse's planned statements in the correct sequence using the SBAR (Situation, Background, Assessment, Recommendation) communication tool. (Place the first statement at the top and the last statement at the bottom.)

  1. 1"Hello, this is the nurse calling about the client in room 204 who has a morning serum potassium level of 3.1 mEq/L."
  2. 2"The client was admitted yesterday with an exacerbation of heart failure and received a scheduled dose of intravenous furosemide."
  3. 3"The client's current heart rate is 76 beats per minute and regular, but I am concerned about the risk for cardiac dysrhythmias."
  4. 4"Could you please prescribe an oral potassium replacement and order a repeat metabolic panel for this afternoon?"

Cevap

The correct sequence follows the standard SBAR framework: Situation (reporting the low potassium), Background (heart failure and furosemide use), Assessment (current heart rate and concern for dysrhythmias), and Recommendation (requesting potassium replacement).
The SBAR tool is a standardized framework for communicating critical information between healthcare team members. The correct order ensures that the provider immediately knows why the nurse is calling (Situation), the context of the issue (Background), the current clinical status (Assessment), and the proposed intervention (Recommendation).

Adım Adım Çözüm

1
Identify the Situation (S).
The statement introducing the nurse, the client, and the low potassium level is placed first.
The SBAR framework begins by clearly stating the immediate reason for the communication.
2
Identify the Background (B).
The statement detailing the admission for heart failure and furosemide administration is placed second.
After stating the problem, the nurse must provide the historical clinical context that led up to it.
3
Identify the Assessment (A).
The statement describing the client's current heart rate and the nurse's clinical concern is placed third.
The nurse shares current findings and their analysis of the patient's present state.
4
Identify the Recommendation (R).
The statement requesting a potassium supplement and repeat lab work is placed last.
The communication concludes with a specific request or proposed action plan for the provider.

Anahtar Kavram

Structured Interprofessional Communication (SBAR)
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Konular

Collaboration with Interdisciplinary Team

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