Question

Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR write what you would report to the Provider. You can use the ISBARR form for guidance.

ISBARR for Nurses

I-Introduce Yourself: Introduce yourself and your role in the patient’s care State the unit you are calling from when speaking with a physician over the phone

S-Situation Specify the patient’s name and current condition or situation. Explain what has happened to trigger this conversation Patient name: ____________________________ Room: ___________ Sex/Age: ___________ Diagnosis: ____________________________________________________________________

B-Background: State the admission date of the patient, his or her diagnosis, and pertinent medical history. Give a brief synopsis of what’s been done so far (e.g., lab test) History: Allergies: Labs:

A-Assessment: Give a summary of the patient’s condition. Explain what you think the problem is or say, “I’m not sure what the problem is, but the patient is deteriorating”. Expand upon your statement with specific signs and symptoms. Current VS: T: ______ P: _____ BP: ____/_____, RR: _____, O2Sat______ @ _________(O2) Heart Rhythm: ___________________________ Lugs sounds: ____________________ Blood Sugar: ____________ LOC: __________________

R-Recommendation Explain what you would like to see done (e.g., lab tests, treatments, or “I need you to see the patient now”) State any new treatments or changes ordered (e.g., monitoring and frequency or when to re-notify the physician if there is no improvement in the patient)

R-Read Back: repeat any orders received back to the prescriber for accuracy.

Answer 1

1.Good afternoon doctor, I am ms.x who is a registered nurse taking care of your patient Mr.John from medical and surgical unit.

2.Mr.John stays in room no.222 is 50 year-old-man who was diagnosed with CVA.

3. He was admitted on October 10th with right sided weakness and inappropriate speech. He is known case of hypertension since 2010 and is allergic to penicillin. CT brain has been done for the client and it confirmed the diagnosis. on laboratory investigations his lipid levels were higher than normal.

4. Today during nursing rounds the patient found semi-conscious and not oriented.I not sure what the problem is, but the patient is deteriorating. His vital signs are normal except an increased blood pressure of 200/119 mm of Hg. Oxygen saturation is 80%. Blood sugar is normal.

5.I need you to see the patient immediately and I m continuously monitoring the client.

6. Ok as per your order I will administer Inj.Lasix 4mg intravenously.