Nursing Role and Scope

· Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.) ISBN: 978-1-4338-3216-1

· Minimum of two references, not older than 2015.

Please reply both peers

Peer 1: The acronym SBAR stands for Situation, Background, Assessment, and Recommendation. It is a structured communication tool that is widely used in healthcare to deliver brief and ordered information during handoff reports or when sharing crucial patient information (Tool: SBAR | Agency for Healthcare Research and Quality, n.d.).

Here’s an example of an SBAR briefing based on the provided information:

Situation: Mr. Jones, a 45-year-old male, was involved in an automobile accident three days ago. He had a lower leg fracture that involved both bones and required surgery to fix. He is currently in Room 25.

Background: Mr. Jones has been in tremendous discomfort since the accident. He is getting morphine 2 mg IV for pain treatment, and his vital signs must be monitored every hour. His circulation, motion, and sensation (CMS) tests have continuously been normal. His leg is elevated to relieve swelling. His pain level is now 2 out of 10 after having morphine 30 minutes ago.

Assessment: Mr. Jones is stable and has no urgent worries. However, he is feeling nausea and is unable to tolerate oral pain meds at the moment. Once his nausea has subsided and he can take fluids effectively, we can try switching him to oral pain meds.

Recommendation: I recommend that you continue to closely monitor Mr. Jones, taking his vital signs hourly and ensuring that his pain is effectively managed with IV morphine. We should also manage his nausea and encourage him to drink fluids to help him adjust to oral pain meds. Please report updates on his pain level, nausea, and hydration tolerance during the following shift.

SBAR is a simple, concrete strategy for framing any interaction, particularly those that require a clinician’s immediate attention and action. It provides a straightforward and focused approach to define expectations for what and how team members will interact with one another, which is critical for developing teamwork and fostering a patient safety culture (SBAR Tool: Situation-Background-Assessment-Recommendation, n.d.).

References

Tool: SBAR | Agency for Healthcare Research and Quality. (n.d.). https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html#:~:text=SBAR%2C%20which%20stands%20for%20Situation,your%20team%20needs%20to%20address.

SBAR Tool: Situation-Background-Assessment-Recommendation. (n.d.). Institute for Healthcare Improvement. https://www.ihi.org/resources/tools/sbar-tool-situ…

Peer 2:Situation: In this SBAR briefing, Mr. Jones, a patient admitted following an auto accident with lower leg fractures requiring surgical intervention, is currently under morphine IV for pain management. Vital signs need to be monitored hourly due to morphine administration, with his current pain level reported at 2 out of 10. He is situated in room 25 and will transition to oral pain medication once nausea resolves and oral intake improves.

Background: Given Mr. Jones’s recent surgery and ongoing pain management, it is crucial to maintain frequent vital sign assessments, particularly due to morphine’s effects. 

Assessment: His satisfactory circulation, motion, and sensation checks, along with an elevated leg, signify adequate immediate care. Continuation of close monitoring is imperative to ensure his comfort and recovery trajectory remains optimal (Leonard et al., 2016).

Recommendation: To optimize Mr. Jones’s pain management and facilitate his transition to oral medication, addressing his nausea and ensuring adequate oral intake are essential. As such, we should continue to provide supportive care, monitor for improvements in his condition, and initiate oral pain medication when appropriate. This approach aims to balance effective pain control with minimizing adverse effects, fostering Mr. Jones’s recovery (Smith et al., 2018).