Page 32 - FCN
P. 32

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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