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b. Read an actual example of how ISBAR is implemented during handover situation. Based on the
shared details of information in each element, categorize the given random components.
Introduction
“Hello, I am calling about Zara Malik, a 45-year-old “Hello, I am calling about Nina Maulana, a 17-year-
female client on 3C. I am Sandi Anindita, a old female client on 3A. I am Gita Cendika, a
registered nurse on the unit.” registered nurse on the unit.”
Situation
“The client is experiencing shortness of breath with “The client was coughing and vomited during her
a productive cough, and green mucous times three rehab session.”
days. Currently, she has moderate crackles
throughout the left lobe. 02 sat is 90%, respiratory
rate is 26, temp is 38.3, pulse 98, blood pressure
134/88, and she is on 4 liters oxygen via nasal
prongs.”
Background
“The patient has been in this facility for 4 days “The client was tested for influenza and is on
following hip surgery. Her incisions show no signs droplet contact precautions. Another client was in
of infection. However, her mobility has been the rehabilitation room with the suspected
limited due to moderate dementia. She has a infected client and the client was not wearing the
history of hypertension, no previous lung disease, required PPE.”
and is a non-smoker.”
Assessment
“Based on my assessment, her symptoms may be “Based on my assessment and the client’s
associated with pneumonia.” symptoms, it’s probable that the client will test
positive for influenza.”
Recommendation
“Would you like a chest x-ray done? And when do “Follow up with the unit manager about the
you have time to see the patient?” miscommunication regarding this client situation is
required. The unit manager for the other client
needs to be informed of the possible exposure to
influenza.”
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