Module 2 | Improve Communication Quality and Safety in Client Care: Activity 4

Instructions

You have now reached the end of your shift and must give the end-of-shift report to the oncoming nurse. Using the information from Activity 1, 2, and 3, write out an end-of-shift report using the SBAR Download SBARtemplate or your own document. Review Chapter 4 of your book for information on SBAR. 

72, Caucasian, Female, Obese

You should include the following:

  • (S) Situation: What is the situation you are calling about?
    • Identify self, unit, patient, room number.
    • Briefly state the problem, what it is, when it happened or started, and how severe.
  • (B) Background: Pertinent background information related to the situation could include the following:
    • The admitting diagnosis and date of admission
    • List of current medications, allergies, IV fluids, and labs
    • Most recent vital signs
    • Lab results: provide the date and time test was done and results of previous tests for comparison
    • Other clinical information
    • Code status
  • (A) Assessment: What is the nurse’s assessment of the situation?
  • (R) Recommendation:
    • What is the nurse’s recommendation, or what does he/she want?
    • Examples: notification that patient has been admitted, patient needs to be seen now, order change
  • Document the change in the patient’s condition and physician notification

Citation

Kaiser Permanente. (n.d.). SBAR: Situation-background-assessment-recommendation. Institute for Healthcare Improvement. http://www.ihi.org/resources/Pages/Tools/SampleSBARCommunicationTool.aspx

Submission and Assessment Guidelines

  • Submit your end-of-shift report in a Microsoft Word document or the PDF provided.
  • Review the Improve Communication Quality and Safety in Client Care Rubric for grading criteria.
  • This activity is worth 75 points.

Rubric

NUR 218 – Improve Communication Quality and Safety in Client Care Rubric

NUR 218 – Improve Communication Quality and Safety in Client Care Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeConnections

60 ptsOutstandingEvidence of critical thinking and provides rationale, as well as examples and specific details.

45 ptsGoodEvidence of critical thinking and details, mostly specific.

30 ptsProficientEvidence of critical thinking and details but usually of a generalized nature.

15 ptsNeeds ImprovementIdea presence is limited or not supported.

0 ptsUnacceptableIdea presence is limited and not supported.

60 pts

This criterion is linked to a Learning OutcomeContent

15 ptsOutstandingExceptionally well-presented; ideas are detailed and well developed.

12 ptsGoodWell-presented; ideas are detailed and mostly well-developed.

8 ptsProficientContent is sound and solid; ideas are present but not particularly developed or supported.

4 ptsNeeds ImprovementContent is slightly reasonable.

0 ptsUnacceptableContent is not sound.

15 pts

Total Points: 75

 
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