Patient Introduction Location: Rehabilitation unit 0800 Report from...

Question Answered step-by-step Patient Introduction Location: Rehabilitation unit 0800 Report from… Patient IntroductionLocation: Rehabilitation unit 0800Report from charge nurse:Situation: Kim Johnson is a 26-year-old female police officer with paraplegia from a thoracic 8 (T8) spinal cord injury. She was transferred to us yesterday.Background: The complete spinal cord injury was caused by a low-velocity gunshot wound to her back at the T8 level while she was responding to a robbery 8 days ago. The bullet penetrated the spinal column with no injury to visceral organs.Assessment: Last bowel movement was yesterday at 1900, and the gunshot wound appears healed. Her neurological status is stable. She is awake and oriented. Bilateral upper extremity motor response is +4, and there is no movement or sensation to the lower extremities. She has been out of bed to a wheelchair. She is on a regular, high-fiber diet, and had breakfast at 0700. At 0400 she was catheterized for 300 mL of clear, yellow urine. The measured urine volume from the bladder scan 5 minutes ago was 321 mL.Recommendation: She is due for assessment of vital signs and the 0800 intermittent urinary catheterization, which can be done after you have reviewed the chart. You should also begin the patient education on her bladder management program and the steps for a straight catheterization. The physical therapist is scheduled to see the patient at 1030.SBAR Instructions: Imagine you took care of Kim on clinical day one and you are at the end of your shift. You are required to provide verbal report to the next nurse who is assuming responsibility of Kim Johnson. Based on your VSIM experience specific to Kim Johnson’s case, how would you formulate a change of shift report in a SBAR format. SBAR PresentationSituation:Background:Assessment:RecommendationTime Plan Instructions: Imagine that you had Kim Johnson on clinical day one. Based on your knowledge of Kim Johnson’s current condition from VSIM, if you were to be assigned to this same client (Kim Johnson) the next clinical day (clinical day two), how would you organize your day from 0730-1230. Imagine your clinical day begins at 0730 where you are required to be on the unit at 0730. Your Time plan Must reflect your organization for the individualized care plan and include:· Assessments· Daily treatments· Medication times· Nursing orders/interventions from nursing care plan and other pertinent nursing interventions· Documentation· Reporting to staffTime-Plan/Interventions- Health Science Science Nursing PNUR 125 Share QuestionEmailCopy link Comments (0)