Consider the below scenario phone conversation when answering the following three questions: "Dr. Jones, this is Mary Smith, RN, on the postsurgical unit at City Hospital. I'm calling about Tom King, your 46-year-old patient who had an inguinal hernia repair this morning. He has not voided since surgery, 8 hours ago. He has received 1900 mL Lactated Ringers IV and 720 mL oral fluids. He can't initiate a stream, but states that he "feels the need to urinate." His bladder is distended by palpation and shows a volume of 800 mL when scanned with the bladder scanner. We've tried standing him to void, providing privacy, and running water, but he is still unable to go. He appears to have urinary retention and I'd like to try using a straight catheter to relieve his retention, what do you think?"
In the above scenario, what part of the SBAR communication tool is the underlined information?

Question

Quizplus · Accepted Answer

R stands for recommendation: What do you want the provider to do to improve the patient's situation? Here you offer probably solutions (order more pain medication; come and assess the patient, etc.). S stands for situation: What is happening right now? Why are you calling? State your name, your unit, patient's name, room number, patient's problem, when it happened or when it started, and how severe. B stands for background: Do not recite the patient's full history since admission. Do state the data pertinent to this moment's problem (admitting diagnosis, when admitted, and appropriate immediate assessment data). A stands for assessment: What do you think is happening in regard to the current problem? If you do not know, at least state which body system you think is involved; how severe is the problem.

Consider the Below Scenario Phone Conversation When Answering the Following