khrisrk

Because if he starts to have a seizure then he will definitely injure himself.

Thank you for your feedback. I will put my own thoughts next time prior to asking your thoughts about it. You guys really helped me a lot and appreciate the knowledge base from this group. I will surely modify my postings next time.

Yes, it is. I have my own thoughts about the situation but I also want to ask whoever wants to answer about what you are going to do when in that situation. It is better to see different points of views. The more information, means more broader way of looking at a situation. Is it not allowed to post assignment questions here? I know lots of experienced nurses are in this group that is why I want your knowledge and input. If you would like to comment then thank you, if not then thank you as well.

What are your thoughts about this scenario? You are working in the ER for a local hospital when police officers brought in a client with a large gash in his head. The police officers restrained him with handcuffs but you r facility has a "no restraint policy". You were able to assess and treat the client but the restraints make you feel uncomfortable. You asked the officers to remove the restraint but they refused. As the nurse on the unit, what will you do?

Hi Chare, I actually moved these information to the Background prior to reading your post. Thank you!

Thank you so much for the clarifications. The links you've given me are also helpful. Where do you think the following should be included? • V/S Q4H • Activity: Ambulate to bathroom with assistance • Diet: Clear liquids • An incentive spirometer is at the bedside I think these should all go to the assessment.

Hi Chare, Thank you! This is what I came up right now. S - Mrs. M, a 50 year old female who is one day post op total abdominal hysterectomy. B - Mrs. M's mother had a hysterectomy and died 7 days after from surgical complications. She is single. A - States her pain level is 4 out of 10 after pain medication is administered. - Abdominal dressing is stained with dried dark red drainage - V/S at 1200: T – 37.2 °C, P – 82, R – 22, BP – 130/76, O2 sat – 96 % - Fine crackles audible in lower bases of lung fields - Foley removed at 0600, has not voided since. At 1400 she was assisted to the bathroom where she voided 400 ml. - pain medication which was administered at 1415. - At 1800 Mrs. M states her pain level is 8 out of 10. B - Assess pain after an hour. - Ask for increased pain medication. - Call MD for chest x-ray. Is there anything else you think I should add to my answer? Or areas to improve?

Patient Profile: The nurse has been working for day shift (12 hour). She provided care for Mrs. M, a 50 year old female who is one daypost op total abdominal hysterectomy. She will be giving the Report to the nurse working night shift.This is the information from her shift: Subjective Data - States her pain level is 4 out of 10 after pain medication is administered - Single - Mrs. M's mother had a hysterectomy and died 7 days after from surgicalcomplications Objective Data - Abdominal dressing is stained with dried dark red drainage - V/S at 1200: T – 37.2 °C, P – 82, R – 22, BP – 130/76, O2 sat – 96 % - Fine crackles audible in lower bases of lung fields - Foley removed at 0600, has not voided since Collaborative Care - Medicationson Morphine sulfate 5 mg IV Q3H PRN for pain - V/S Q4H - Activity: Ambulate to bathroom with assistance - Diet: Clear liquids - An incentive spirometer is at the bedside At 1400 she was assisted to the bathroom where she voided 400 ml. When she settled back into bed,Mrs. M requested pain medication which was administered at 1415. At 1800 Mrs. M states her pain level is8 out of 10. The nurse take out an ampule labeled hydromorphone 10 mg/mL and administer 0.5 mL to Mrs. M. Can somebody help make these into an SBAR report? Please. Still a little bit confused as to which information to put in each category. Thank you!

Patient Profile: The nurse has been working for day shift (12 hour). She provided care for Mrs. M, a 50 year old female who is one daypost op total abdominal hysterectomy. She will be giving the Report to the nurse working night shift.This is the information from her shift: Subjective Data - States her pain level is 4 out of 10 after pain medication is administered - Single - Mrs. M's mother had a hysterectomy and died 7 days after from surgicalcomplications Objective Data - Abdominal dressing is stained with dried dark red drainage - V/S at 1200: T – 37.2 °C, P – 82, R – 22, BP – 130/76, O2 sat – 96 % - Fine crackles audible in lower bases of lung fields - Foley removed at 0600, has not voided since Collaborative Care - Medicationson Morphine sulfate 5 mg IV Q3H PRN for pain - V/S Q4H - Activity: Ambulate to bathroom with assistance - Diet: Clear liquids - An incentive spirometer is at the bedside At 1400 she was assisted to the bathroom where she voided 400 ml. When she settled back into bed,Mrs. M requested pain medication which was administered at 1415. At 1800 Mrs. M states her pain level is8 out of 10. The nurse take out an ampule labeled hydromorphone 10 mg/mL and administer 0.5 mL to Mrs. M. Can somebody help make these into an SBAR report? Please. Still a little bit confused as to which information to put in each category. Thank you!