Clinical Simulation in Nursing for Placement- myassignmenthelp.com

Question: Using the ISBAR format, what are the critical elements that should be covered in the handover for Matt from PARU? Answer: Under ISBAR format there are five elements that should be filled correctly for proper handover of Matt from PARU to the ward. The elements are as follows; Identify Under this particular element the patients identification details are captured in full such as name, medical record number, DOB, as well as the name and the title of the hospital staff handing over. The medical record number differ from one medical facility to another depending on what the facility thinks works best for them. (Pang, 2017) Situation This includes the reason for admission that is open fracture of right tibia and fibula. The Diagnosis should also be recorded as well as mode of delivery and nature of operation that is the surgical intervention of debridement and external fixation. The date of operation should also be noted. Under this element it should be recorded that Matt has had Morphine 5mg IV for pain. (Pang, 2017) Background Adequate background information must also be noted down such as relevant previous medical history of the patient such as allergic to penicillin and other medical conditions that serves to shade light on the kind of patient the medical representative is handling. (Tremel, 2012) Assessment - Under the assessment, Mr. Matt latest clinical assessment should be recorded. This information includes Blood pressure, pain score, temperature, urine output patient anxiety and Labs. The physiological conditions helps to make quick overview of the patient situation before detailed investigations are carried out regarding any unusual symptom. The assessment part helps the incoming officer to understand the situation under which his or her patient is and therefore take all necessary precaution that should be taken. (Finnigan, Marshall Flanagan, 2010) Recommendation Under this particular element actions are required after the completion of the hand over process. This includes making calls to the relevant doctor to discuss the noted situation of the patient. The call should specify the urgency of the matter so that the Doctor can understand the nature of the situation. Any activity that should be carried out should be noted down at this stage and necessary arrangements are made for particular tasks to be performed. To be more specific on Mr. Matts case, the incoming medical officer should keep in mind that the patient may require varying levels of pain killers from time to time depending on how he his recovering or responding to medication. (Levett-Jones Bourgeois, 2011) References Finnigan, M., Marshall, S., Flanagan, B. (2010). ISBAR for clear communication: one hospital's experience spreading the message. Australian Health Review, 34(4), 400. https://dx.doi.org/10.1071/ah09823 Levett-Jones, T., Bourgeois, S. (2011). The Clinical Placement. London: Elsevier Health Sciences APAC. Pang, W. (2017). Promoting integrity of shift report by applying ISBAR principles among nursing students in clinical placement. SHS Web Of Conferences, 37, 01019. https://dx.doi.org/10.1051/shsconf/20173701019 Tremel, M. (2012). A Clinical Simulation Integration Model for Nursing Education. Clinical Simulation In Nursing, 8(8), e394. https://dx.doi.org/10.1016/j.ecns.2012.07.023