Contoh Sbar 3

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Let's take an example. Say that Mr.

Sanchez receives a medication


prescribed by the physician on rounds. Within ten minutes of its
administration, he develops a rash on his chest and abdomen and
starts exhibiting diaphoresis.

The nurse calls the physician to report the incident, giving his or her
name, the patient's name, and a brief description of the situation.
"Dr Smith, this is Delores Schwartz on 4 South at Mercy Hospital. This
is the situation. Mr. Jorge Sanchez in 420B at 10:05 this morning
received the dose of 0.5 mg Xanax you prescribed for anxiety on your
morning rounds. At 10:15 this morning, he buzzed the floor nurse
complaining of sweating and itching on his chest."

Then a brief background is given. This is two-fold. It clarifies the


patient's history, so there is certainty the right patient is being
discussed, and it reminds all personnel involved of the patient's
history and condition leading up to the incident.
"Here is his background. As you know, Mr. Sanchez was admitted
over the weekend for shortness of breath and chest pains. His EKG
was unremarkable, but he had just lost his job, has a wife on
disability, and has a son in Iraq. He has a reported history of
medication sensitivity and is allergic to Codeine, penicillin and
peanuts. He reports not sleeping well for the past month, and having
bouts of severe indigestion. His vital signs are 185/96 with a
respiration of 28 and a pulse of 82. Medication was verified as correct
in quantity and dosage prior to administration via bracelet ID."

The assessment of the situation is given next. The nurse gives an


analysis of the situation based on her observation and expertise.
"My assessment is that the patient seems anxious, having had bad
reactions to medications in the past. His wife is here with him. He
does have small reddish blotches on his abdomen and they are
spreading upwards into his chest. He is scratching vigorously. He is
diaphoretic and his palms are clammy. His speech is clear and his
tongue does not appear to be swelling. He can swallow without
trouble and breathing is shallow but not labored."
Finally, the nurse gives her recommendation of what she believes
would be the best course of action. The nurse is not telling the doctor
what to do, but clarifying options. This is often offered in a form of a
question. Additionally, the nurse offers the listener a chance to ask
questions.
"I would recommend he be prescribed Benadryl and a cortisone
cream, or do you want us to run lab work, or do you wish to return
and re-evaluate him? Do you have any questions?"

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