LEADERSHIP ANA MANAGEMENT.

Handoff with SBAR”

 

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Today, you were assigned to provide total patient care for Mr. Dixon. He is a 73-year-old male who was admitted for a total knee replacement 2 days ago. Today, the bloody output from Mr. Dixon’s Jackson Pratt drains increased dramatically, and the incision site appears to be reddened, swollen, and hot. He has required intravenous (IV) pain medication every 3 to 4 hours, which reduces his pain from a level 6 to 8 out of 10 to a level of 2 to 3. He is refusing to use his continuous passive motion machine because he says it is too painful. He is also nauseated and refused his lunch today. His bowel sounds are diminished. Mr. Dixon’s wife is at the bedside and shares with you that the patient does not normally complain, so she is worried that something might be wrong. Mr. Dixon’s surgeon is not expected to see this patient until later this evening, after the close of his private practice.

Directions: for the initial post use ISBAR to prepare your handoff report for the next shift and then share what you have prepared with a peer. Use the tool below.

The ISBAR tool leads to conscious, structured communication by …

Evidence-Based Practice Proposal – Section E: Implementation Plan