Isbar Assignment Neuro PDF

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ISBAR...

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ISBAR Assignment Template – Health Assessment

At times the right action for the nurse is to communicate their concerns about a patient’s clinical status. It is important to be confident and skilled in communicating with members of the health care team so they can signal the need for immediate action and support when required. “Good clinical communication is important in clinical reasoning and decision-making”. ISBAR is an effective way of communicating during phone calls and increasing patient safety (Mikos, 2007). At 0830 when you note Mrs. F is lethargic and slow to respond to verbal stimuli, one nursing intervention would be to contact the physician. Using the ISBAR Assignment Template, write how you will communicate with the patient's primary health care provider/physician over the phone. Using ISBAR, write how you will communicate with the patient’s primary health care provider/physician over the phone? I

Identify

Self – name , position, location Patient – name, age, gender

S

Situation

B

Background

Explain what has happened to trigger this phone call conversation Admission date, diagnosis, relevant history, investigations, what has been done so far

A

Assessment

Give a summary of the patient’s condition or situation. Explain what you think the problem is (if you can)

R

Request / Recommendatio n

State your request or recommendation

This is Maricar Estoque, Registered Nurse calling from Trauma Ward I am calling about Mrs. F. 79 years old female I am concerned because she is lethargic and respond to verbal stimuli slowly She was admitted 2 days ago due to Motor vehicle accident, right arm with cast and will discharge this AM. She is in Vicodin for pain and Diphenhydramine. During the night, she fell, with slight nose bleeding I have just assessed the patient personally: Vital signs are: BP 90/70 lower than her usual 130/88 Pulse 110 bpm and irregular Respiration 14 rpm shallow O2 Sat 92 % Skin is cool and with slight cyanosis on nail beds. I think he is showing signs of hypovolemic shock. I request that you come and see the patient this time. Is there anything I should do in the meanwhile, or anything you will need as part of your assessment?...