4. What key elements would you include in the handoff report for this patient? Consider
the SBAR (situation, background, assessment, recommendation) format.
Situation: My name is Molly Dombrowski, I am a student nurse
...
4. What key elements would you include in the handoff report for this patient? Consider
the SBAR (situation, background, assessment, recommendation) format.
Situation: My name is Molly Dombrowski, I am a student nurse at Bridgeport
Hospital. I’m calling about my patient Doris Bowman whom was complaining of a pain
level of 6/10. I administered 2mg of Morphine IV push and she almost immediately went
into respiratory distress.
Background: Doris Bowman is a 39-yr old female who underwent a total
abdominal hysterectomy with bilateral salpingo-oopherectomy under general
anesthesia. She tolerated the procedure well, without any complications. She has an
abdominal incision covered with 4x4 gauze and no drainage. IV of potassium chloride in
5% dextrose and normal saline is infusing at 125 mL/hr. Estimated blood loss was 400
mL. She has Foley catheter placed with 200 mL urine output and compression stockings
on.
Assessment: Ms. Bowman’s vital signs are: BP: 142/80 mm Hg, RR: 21-chest is
moving normally on both sides. SpO2: 93% room air, Pulse: 107, TEMP: 99F. PAIN:
5/10. She has a normal skin turgor. Her skin is cool and sweaty. She has about 200 mL of
clear urine in bag. Her IV sites have no redness, swelling, infiltration, bleeding or
drainage. Her abdominal dressing is dry and intact.
Recommendation: Is to keep an eye on Ms. Bowman’s vital signs, breathing, and
pain level closely. I will monitor for sedation and her respirations
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