sbar lakhmi.pptx
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A 26-year-old primigravida mother was admitted to the emergency department in early labor. The nurse called the on-call obstetrician to provide an update using the SBAR tool. The nurse informed the doctor that the mother was contracting regularly and her cervix had dilated to 4 cm. The nurse recommended transferring the mother to the labor room and starting oxytocin. The nurse asked the doctor if any other tests or treatment were needed, and how to contact him going forward.
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- 1. SBAR TOOL FOR CALLING A PHYSICIAN BEFORE CALLING THE PHYSICIAN 1. Assess 2.Review the chart 3.Diagnosis 4.progress notes 5.result
- 2. SCENARIO A mother is admitted to ED in early labor. The registered nurse need to give update on the on call obstetrician.
- 3. SITUATION STATE YOUR NAME AND UNIT I AM CALLING ABOUT I AM CONCERNED ABOUT
- 4. EXAMPLE Dr bose good morning this is Rajkumari lakshmi from ED NRS Hospital calling to let you know that Mrs sujata das 26 yrs old has been admitted in early labor.
- 5. BACKGROUND STATE THE ADMISSION DIAGNOSIS AND DATE OF ADMISSION STATE THE MEDICAL AND SURGICAL HISTORY A BRIEF HISTORY OF THE TREATMENT TO DATE
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- 7. Cont… mother has no history of present and past medical and surgical history. Mother has no history of food and drug allergy.TT 1st dose given on 20/11/16 ND 2nd dose on 21/12/17. Total wt gain during pregnancy 12 kg.
- 8. Cont… USG done on 3/7/17(report-a single live viable fetus with gestational age 39 weeks with vertex presentation with adequate liquor. Blood reports-bld gr (+ve),Rh (-ve),Hb-12 gm /dl, PPBS fasting-120 mg /dl, VDRL- non reactive, urine ( sugar & albumin) not checked.
- 9. ASSESSMENT RECENT VITALS ANY CHANGES FROM PRIOR ASSESSMENT
- 10. EXAMPLE Mother has been monitor for 30 mint ,is contracting every 10 mint each stay less than 20 second. she is dilated to 3 cm,70% effaced, and station -1 and kept under observation for progress of labor.
- 11. cont…. Now she has contraction every 5mint and stay less than 20 sec when the Os is 4cm dilated, 60% effacement .Baseline FHR is 140 b/mint, with average variability; there are acceleration of 15 b/mint and no deceleration. Her BP-130/80mmhg,pulse- 100, and resp-24.
- 12. RECOMMENDATION Do you think we should: -transfer the mother to? -come to see the mother at this time? - talk to the mother and family about the status? - ask to the consultant to see the mother now? - Other suggestion?
- 13. Cont… Are any test needed: If any change in treatment is ordered then ask: - how often do you want vital signs? - if the mother does not improve , when you want us to call again?
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