Hi I am confused about Isobar handover.I mean, I don't get what kind of information goes under each category..For example, when a pt was assessed on admission that she/he had an ulcer, Or when the pt was dianosed with a chest infection after admittes and is receiving iv antibiotics, where should these information go? situation? observation? or background? Could anyone help me here??
Cvepo 127 Posts Specializes in CCU, SICU, CVICU. Has 3 years experience. Jun 13, 2017 Do you mean SBAR? Never heard of "Isobar".
al sue 5 Posts Jun 13, 2017 No It's ISOBAR handover. Standing forIdentity SituationObservationBackgroundAgreed planRead back
Cvepo 127 Posts Specializes in CCU, SICU, CVICU. Has 3 years experience. Jun 13, 2017 No It's ISOBAR handover. Standing forIdentity SituationObservationBackgroundAgreed planRead backHmm, never heard of it. Just seems like a longer form of SBAR. Based on your examples, those would fall under Background or Observation probably. This type of communication is usually used when there is a change in condition from my experience. The "situation" would be your "they are now hypotensive [insert vital signs here]", observation would I guess be an extension of that "they appear diaphoretic and report feeling light headed". Background would be what brought them in "they were a AAA repair POD #4 with Dr Smith." In SBAR, the R was for recommendation, which this doesn't seem to give you the recommendation part.
al sue 5 Posts Jun 13, 2017 Thank you very muchBut in my situation , I am actually doing handover to ask an RN to supervise me doing wound dressingI think the assessment abou ulcer should fall under the situation casue that is what I am calling. am I right?.. If so, the chest infection diagnosis also need to move to the situation or stay under background?
Cvepo 127 Posts Specializes in CCU, SICU, CVICU. Has 3 years experience. Jun 13, 2017 The chest infection would be background.
vampiregirl, BSN, RN 1 Article; 795 Posts Specializes in Hospice. Has 13 years experience. Jun 14, 2017 Any report format is probably going to be awkward at first but becomes smoother with time. And then there are occasions where important details don't seem to nicely fit into any of the categories. The thing I try to remember is get the information organized in a concise manner with the pertinent info.
allnurses Guide hppygr8ful, ASN, RN, EMT-I 4 Articles; 4,721 Posts Specializes in Psych, Addictions, SOL (Student of Life). Has 21 years experience. Jun 14, 2017 No It's ISOBAR handover. Standing forIdentity SituationObservationBackgroundAgreed planRead backI'm guessing it would go something like this. Identity : Mr. Fred FlintstoneSituation: Stage 4 Diabetic ulcer to the left foot resulting in left below the knee amputation 24 hours agoObservation: Dressing clean dry intact, Vital signs stable, behavior sad and withdrawn. Background: Pt has been a type 2 diabetic for 15 years has always had trouble managing his diabetes> Dietary consult and diabetes education orderedAgreed plan: Manage would and provide physical and emotional support for the patient until stable for discharge to rehabRead back: No new orders received today
Orion81RN 962 Posts Has 7 years experience. Jun 15, 2017 Isobar? This stuff is getting crazier and crazier. Enough with the acronyms already. "Repeat." Are they trying to make report twice as long when patients are already demanding our attention when we 1st arrive?
