Bowie State University Nursing Pediatrics SBAR Documentation Paper Please read all instructions and watch the attached video to complete this assignment!

Bowie State University Nursing Pediatrics SBAR Documentation Paper Please read all instructions and watch the attached video to complete this assignment!

How to do an SBAR Video: https://www.youtube.com/watch?v=xCNCbUy4hBo&feature=youtu.be

Please use the attached sample SBAR as a guide to complete the assignment.

Use the information for the attached pictures to put into the paper.

Please let me know if you have any questions Running head: NURS 416 SBAR
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Nursing 416 SBAR Assignment
October 27, 2016
NURS 416 SBAR
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(S) Situation: My name is. I am a nursing student from Bowie State University. I am caring for a
5-year-old female named E.M who weighs 20.5kg. She has diarrhea.
(B) Background: E.M has no known allergies or past surgeries, and she is full code. She has a 3day history of vomiting and diarrhea with signs of dehydration. She is currently receiving and IV
of Normal Saline bolus 400ml (20ml/kg).
(A) Assessment: E. M’s functional status is appropriate for age. She vomits and has loose stools.
She seemed irritable, pale, and lethargic, which are related to her dehydration. Additionally, she
has dry skin and mucous membrane, poor skin turgor, increased blood pressure and pain. Her
vital signs were as follows: RR- 26, P- 118, BP- 116/78, T- 99.6.0, and Pain level of 7/10 in the
abdomen. She was alert and oriented x3. Facial movements are symmetrical. Shoulders move
symmetrically. Heart rate was at regular rate and rhythm. Pulse site was palpable and located at
the radial site. Capillary refill was less than 2 second. Lung sounds were clear bilaterally. Chest
expansion and size were symmetrical. The abdominal shape was round and symmetrical.
Abdomen was soft to touch. Bowel sounds were hyperactive.
(R) Recommendation: I would recommend rehydration (with oral rehydration solution like
Pedialyte), plenty of rest, avoiding BRAT (Banana diet, Rice, Applesauce, and Toast) diet, high
protein diet, acetaminophen for pain, and applying cream on the body to avoid skin bread. I
would also suggest cleaning the toy areas, clip long nails, avoiding nail biting or thumb sucking,
and frequent showering. Therefore, proper adherence to these suggestions would lead to
adequate fluid volume.
NURS 416 SBAR
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SBAR Note Grading Criteria
Student Name:____________________ Date:__________________
Grade__________% (____total points received/2.5)
Comments
Situation:
Provide a concise statement
of the problem.
0.60%
Background:
State the pertinent and brief
information related to the
situation.
0.30%
Assessment:
Summarize situation and
background. Explained what
is going on with patient with
appropriate assessment data.
1%
Recommendation:
Describe/Explain what action
requested/recommended
0.50
Grammar:
Correct grammar, spelling,
clear concise data,
0.10
Total 2.5%
Points Received
SBAR Note Grading Rubric
Student Name:____________________ Date:__________________
Grade__________% (____total points received/5)
Comments
Situation:
Provide a concise statement
of the problem.
1.2%
Background:
State the pertinent and brief
information related to the
situation.
0.60%
Assessment:
Summarize situation and
background. Explained what
is going on with patient with
appropriate assessment data.
2%
Recommendation:
Describe/Explain what action
requested/recommended
1.0%
Grammar:
Correct grammar, spelling,
clear concise data,
0.20
Total 5%
Points Received

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