can someone show me how to do SBAR for this patient Scenario #4 (NICU) Baby Z. i
ID: 306071 • Letter: C
Question
can someone show me how to do SBAR for this patient Scenario #4 (NICU) Baby Z. is a 3-week-old infant in NICU, nursery 2. He was at 27 weeks gestation when delivered. He has been progressing well after a short period of CPAP and remains on 24% flow support. He is receiving continuous tube feedings. He has demonstrated a steady weight increase. For the first time today, he has had a couple of episodes of apnea. When Sue, the evening nurse, came on and did her assessment she noted he was tachypneic with a respiratory rate of 75. As she was documenting her assessment, Baby Z. had a bradycardia episode and his oxygen saturation decreased to 75. His heart rate returned to 130 with stimulation and Sue increased the oxygen to 28%. He also had some regurgitation of formula. His muscle tone is diminished and his coloring is mottled. She listened to his breath sounds and noted that they were equal and clear. His abdomen is soft and not distended. The day nurse reported that he had slept a lot today and his mother felt he wasn't as alert as usual.Explanation / Answer
SBAR - S(SITUATION) B-(BACKGROUND) A- (ASSESSMENT) R-(RECOMMENDATION).
SBAR is a technique that can be used to facilitate prompt and appropriate communication especially among medical health care professionals such as physicians and nursing. This technique provides an organized logical sequence and improved communiction processs to ensure patient safety.
SITUATION:Healthcare professionals become familiar with the environment and the patient. Identify the problem and provide a brief description of it. In situation, the nurse should explain the details about the reporting staff name, the baby name( Baby Z) and the unit( NICU). Along with this, she should explain the doctor about the episodes of apnea and bradycardia, tachypenea( respiratory rate 75), oxygen saturation-75%, heart rate-130beats per minute, regurgitation, diminished muscle tone and mottled skin color.
BACKGROUND: The goal of background is to be able to identify and provide the diagnosis or reason for the patient's or child admission, their medical status and history. In background, the nurse should explain the details of the child. For instance: child delivered at 27weeks gestation, was on short period of CPAP and on 24% oxygen support. The nurse should also explain about the last 3 weeks condition and present situation to the consulting doctor( the mother told that he had slept a lot today and was not alert as these days).
ASSESSMENT: The situation is surveyed to determine the most appropriate course of action. Here the medical professional states what they believe the problem is based on current assessment and medical findings. In assessment, the nurse should explain the problem to the doctor APNEA OF PREMATURITY) and what she had done to the child to improve his condition ( the nurse increased the oxygen from 24 to 28%). The nurse should explain the present condition of the child ( the child is not alert).
RECOMMENDATION:Healthcare professionals give accurate and descriptive explanations on exactly what they need during that time frame. Possible solutions that could correct the situation at hand are discussed between the healthcare professionals. Therefore, a statement of wht is required, how urgent, and what action needs to be taken is discussed. Based on the assessment, the nurse ask the doctor to give orders to carryout inorder to improve the condition of the child. For instance : stop feeding to correct regurgitation.
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