Flipgrid SBAR Mr. Smith is a 75-year-old
Flipgrid SBAR Mr. Smith is a 75-year-old man who lives at the long-term care home, Shady Acres, where you are an PN student. Upon entering his room to bring him to the dining room, you discover him lying the floor beside the toilet. He has a large bump on his forward and seems a bit confused. Upon assessment, he states he has pain in his head and left wrist. He feels cool and clammy and is upset about lying on the floor for so long. His vitals are as follows: BP 109/61, HR 58, RR 16, O2 97% on RA, Temp 37.1. You call for help and assist him to his bed using a mechanical lift. Upon further assessment, you see swelling and a slight deformity to his left wrist. Mr. Smith is more confused and yelling out to help him. You are concerned about Mr. Smith’s increasing confusion and that he may have broken his left wrist. Mr. Smith takes Aspirin 81 mg daily and has an allergy to Penicillin. You would like to call the physician about this incident. S Situation: (state in 5-10 seconds) Indicate you name, title, where you are calling from State: Who you are concerned about The problem I am concerned about… B Background: Pertinent history Events leading up to the current condition Consider the following clinical information: Diagnosis, procedure preformed Medication, allergies, IV fluid, lab results Assessment findings, recent vital signs Mental status Oxygenation A Assessment: What is your assessment of the situation? What do you believe the problem is? I’m not sure what the problem is but the patient is deteriorating I’m concerned something is wrong R Recommendation: What do you need from the physician of health professional?
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