This assignment is to be done and submitted as a Scholarly Paper using the appro

Question

This assignment is to be done and submitted as a Scholarly Paper using the appropriate APA formatting. Please note: There are 2 points on the rubric for Writing Conventions which applies to the entire assignment. Part 1 – Communication Section 1 – SBAR Define and describe the SBAR Tool, answering the following questions: 1. What does SBAR stand for? 2. What is the purpose of the SBAR tool? 3. When should a SBAR tool be used? Section 2 – Case Scenario Analysis using SBAR Handoff Report/SBAR. Based on the following Case Scenario: 1. Complete a comprehensive end of shift Handoff Report using the SBAR tool. Your Handoff Report/SBAR is to include a complete head to toe assessment of the patient using all the information provided in the Case Scenario. DO NOT make up information – use only the information provided in the Case Scenario. 2. Then answer the following questions, taking the information from the Case Scenario for the assignment. You may need to “make up” some information to answer these questions. 1. What are the major issues in the case scenario? 2. What information is missing from the Case Scenario? 3. As the nurse taking care of the patient, what actions did you take? Include this information in the appropriate section of the SBAR for your Handoff Report. Use ESBAR chart to answer section 2, question 1 and 2.

Patient Profile You have been working a 12 hour day shift providing care for Mrs. L, a 42 year old female who is one day post op total abdominal hysterectomy. You will give the Handoff Report to the nurse working a 12 hour night shift. The following is information from your shift: Subjective Data States her pain level is 4 out of 10 after pain medication is administered Lives alone 20 years ago Mrs. L’s mother had a hysterectomy but died 10 days after from surgical complications Objective Data Abdominal dressing is stained with dried dark red drainage V/S at 1200: T – 37.2 °C, P – 82, R – 22, BP – 130/76, O2 sat – 96 % Fine crackles audible in lower bases of lung fields Foley removed at 0600, has not voided since Collaborative Care Medications o Morphine sulfate 5 mg IV Q3H PRN for pain V/S Q4H Activity: Ambulate to bathroom with assistance Diet: Clear liquids An incentive spirometer is at the bedside At 1400 you assisted Mrs. L to the bathroom where she voided 400 ml. When she settled back into bed, Mrs. L requested pain medication which you administered at 1415. At 1800 Mrs. L states her pain level is 8 out of 10. You take out an ampule labeled hydromorphone 10 mg/mL and administer 0.5 mL to Mrs. L. Part 2 – Leadership For this part of the assignment, you are asked to write a short (maximum 2 pages) summary by answering the following question: How does leadership and communication influence the Handoff Report/SBAR? A minimum of two (2) references are to be used to support your answer. Please review plagiarism guidelines. Plagiarized assignments will receive a grade of zero (0). Cite ALL references using proper APA format.

Explanation / Answer

What does SBAR stand for?

SBAR is an abbreviation for Situation, Background, Assessment, Recommendation; a method that can be used to ease quick and suitable communication. This message prototypical has increased admiration in healthcare locations, particularly between occupations such as doctors and nursing.

What is the purpose of the SBAR tool?

The determination of the SBAR Toolkit is to propose applied plans to assist administrations to tool a non-hierarchical, organized message instrument, and assess its acceptance and usage.

When should a SBAR tool be used?

This should be used when hospitals and healthcare amenities about the biosphere as a humble but real way to regulate message among clinicians. It permits for an informal and absorbed method to set prospects for what will be connected and how amid memberships of a side, which is indispensable for emergent cooperation and development an ethos of patient security.

How does leadership and communication influence the Handoff Report/SBAR?

Throughout an incident of illness or retro of upkeep, a patient can possibly be preserved by an amount of health-care doctors and authorities in manifold locations, counting primary care, particular casualty care, extra care, medical care, concentrated care, and reintegration. Moreover, patients will frequently change amid areas of analysis, action, and care on an even foundation and may meeting three shifts of staff each day presenting a security risk to the patient at each intermission. The hand-over message amid components and amid and between care sides strength not comprise all the indispensable info, or information may be misinterpreted.

These gaps in message can reason serious breakdowns in the steadiness of upkeep, unsuitable management, and possible damage to the patient. Connecting patients and relations in the procedure of care is progressively being documented as a significant feature of care distribution. The patient and domestic are the only continuous and are thus in a location to play a dangerous role in safeguarding steadiness of care. Simply provided that chances for breadwinners of care to ask and resolution questions can recover the efficiency of hand-over infrastructures. Rationalization and regulating change-of-shift reportage can improve critical rational, as well as minimalize time consumed absent from the enduring. Read-back is additional real method used in hand-overs, where the headset of info writes down the info and then recites it back to the provider of the information to get validation that it was understood properly. Skills such as electric patient sign-outs have been exposed to decrease avoidable opposing event rates. The perioperative location is a sole practice setting. Delivery of harmless and real care in all parts of a surgical facilities suite needs a complex structural construction, applying a varied skill mix from many workers.

In adding, within this complex location, various memberships of the surgical side may have contradictory goalmouths and objects. Since this setting is so multifaceted and may also be penetrating at eras, actual management and communiqué services are vital in order to transport these varied workers composed to deliver safe upkeep and attain positive patient consequences, which comprise deterrence of medical site contagions, medicine errors, wrong-site operation, and other avoidable difficulties. Teamwork in health care is clear as fitness care specialist’s presumptuous balancing roles and helpfully working composed, sharing accountability for problem-solving and creation choices to express and carry out plans for patient maintenance. Teamwork amid doctors, harbors, and other health care specialists upsurges team members’ consciousness of each other’s’ type of information and skills, foremost to sustained development in decision creation.

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