Question

SBAR (10%)

• This is a ane page assignment in which you will complete an SBAR (Situation, Background, Assessment, and Recommendation) on a chosen patient.

SBAR is the framework for communication between members of the health care team about a patient’s condition. You may choose a real or fictitious patient.

Answer 1

Ans) SBAR is an acronym for Situation, Background, Assessment, Recommendation; a technique that can be used to facilitate prompt and appropriate communication. This communication model has gained popularity in healthcare settings, especially amongst professions such as physicians and nursing.

Nurse/Doctor interaction
Situation:
This is Nurse Jones on the Haematology Day Ward. I’m calling about Mr John Smith,
a day case patient, because he is breathless and his heart rate is 120. I am
concerned that might be having a transfusion reaction.
Background:
Mr Smith came in this morning for a transfusion of 2 units of red cells. His
haemoglobin dropped to 80g/L following his last round of chemotherapy and he
was symptomatic during light activity.
His first unit of blood was given over 90 minutes and the second one started half an
hour ago and is over half way through.
He developed dyspnoea within the last 15 minutes, his heart rate has increased
from the baseline observations of 90 and his blood pressure is also elevated.
Assessment:
His current observations are:
Temp: 37.1oC, Pulse: 120, BP: 150/96, Resps: 28, SPO2: 92%
He also looks a little flushed.
I think he is showing signs of circulatory overload so I have stopped the transfusion
for now and administered oxygen.
I note that he wasn’t prescribed a diuretic on this admission.
Recommendation:
I would like you to come and see the patient immediately.
Is there anything I should do in the meanwhile, or anything you will need as part of
your assessment?