Question

what do you think is priority information to communicate to the nurse who will be accepting...

what do you think is priority information to communicate to the nurse who will be accepting Jill on the inpatient mental health unit? From this SBAR I need help answering this question.

WORKSHEET FOR SBAR ASSIGNMENT POST SIMULATION
SBAR Nurse to Nurse Report Worksheet
Patient Name: Jill Johnson Allergies: KNA
Code Status: { FULL } DNR PALLIATIVE   
S (Situation) Ms. Johnson is complaining of having no energy has became increasingly withdrawn, and has a plan for self harm.
Diagnosis: No prior diagnosis noted

B (Background) Ms. Johnsn is a second semester student was brought down to the student clinic to be evaluated on here recent change in behavior. Her sister Joyce stated that Jill has stopped eating has loss weight, and has been missing classes. Jill has stated that she is tired and can’t go on with her day to day activities. Patient has a plan to harm one’s self. A no Suicide contract has been signed between the patient and I.   
Past Medical History: Patient has no prior medical history.


A (Assessment)
Vital Signs: Temp: 97.6 HR: 82 B/P: 115/70 RR: 20 02 sat % : 100% on: room air
Neuro: A & O x 3 , Eyes PEERLA, conjunctiva normal
Cardiac: Auscultated heart S1 and S2 present no heart murmurs noted.
Respiratory: lungs clear bilaterally
Gastrointestinal: Positive bowel sound in all four quadrants. Last BM this morning 04/18/2020. Formed stool noted. No abdominal pain.
Genitourinary: Patient continent no complaints of abdominal pain or discomfort noted.
Extremities: Active range of motion to all extremities. Strength egual bilaterally. No edema
Ms Johnson reports that she is overwhelmed with stress and does not have any social support here at school. She shows signs of hopelessness, loss of interest, lack of concentration, slowness in activity, and thoughts of suicide. WHODAS scale was completed her score was 126/36 was calculated as 4.84 rating of severe to extreme disability.
R (Recommendations) My recommendation is that my patient should be seen by physician and referred to Psychiatry to discuss what is causing her change in behavior and suicidal thoughts.


Homework Answers

Answer #1

SBAR is a tool used by the nurses to communicate while patient handover. This tool helps present patient situation and information of concern to the professional in a succint and concise manner and prevents potential errors.

In this case the most important information that the in patient nurse taking Jill should be mentioned with is regarding her thoughts for harming own self. This is very crucial information and the nurse managing ber should know her potential ability and intentions.

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