SBAR - ANS stands for:
Situation
Background
Assessment
Recommendations
when is SBAR used - ANS -shift report
-when calling the health care provider
-transferring between units/other facilities (sending to nursing home)
-giving report to next shift
-consults (calling d...
EXAM
1-
NSG
352
Exam
Questions
And
Answers SBAR
-
ANS
stands
for:
Situation
Background
Assessment
Recommendations
when
is
SBAR
used
-
ANS
-shift
report
-when
calling
the
health
care
provider
-transferring
between
units/other
facilities
(sending
to
nursing
home)
-giving
report
to
next
shift
-consults
(calling
dietitian)
Situation
(SBAR)
-
ANS
1.
identify
yourself,
your
unit,
the
patient
2.
briefly
describe
the
problem
and
your
concern
3.
what
is
going
on
with
the
patient
4.
give
the
headline-
1-2
sentences
describing
the
reason
for
the
communication
Background
(SBAR)
-
ANS
1.
provide
the
patients
diagnosis
or
reason
for
admission,
medical
status,
relevant
history
2.
have
the
chart
available
3.
give
the
clinical
context-
as
much
info
as
required
to
clearly
and
quickly
set
up
for
the
assessment
of
data
Assessment
(SBAR)
-
ANS
1.
provide
specific
information
on
vital
signs,
recent
labs,
other
quantitative
or
qualitative
data
2.
offer
a
provisional
diagnosis
or
clinical
impression
3.
if
offering
a
diagnosis
is
inappropriate,
express
your
concern
4.
give
the
problem
as
you
see
it,
again
using
a
headline
describing
the
problem
Recommendation
(SBAR)
-
ANS
1.
explain
what
you
need
2.
be
clear
and
specific
regarding
your
expectations
and
time
frame
3.
read
back
orders
4.
figure
out
what
is
needed
immediately
to
correct
the
problem
Telephone
communication
-
ANS
-STUDENTS
CANNOT
TAKE
ORDERS-
ONLY
LICENSED
NURSES
CAN -have
chart,
information,
and
scrap
paper
ready
-identify
self,
unit,
patient
to
health
care
provider
-follow
SBAR**
-repeat
orders
back
-write
orders
on
chart
-document
call
Purposes
of
Medical
Records
-
ANS
IF
YOU
DID
NOT
WRITE
IT,
YOU
DID
NOT
DO
IT!
-legal
documentation
-communication
-data
complication
of
the
patient
-ASSESSMENT:
do
at
the
beginning
of
the
shift
so
you
can
recognize
any
changes...
document
everything
you
SEE
&
HERE
-
care
planning:
come
up
with
preventative
ideas
-
quality
assurance
of
joint
commission:
gives
hospital
accreditation
-
reimbursement:
medicare
and
medicate
will
not
reimburse
if
certain
things
are
not
documented
-
research
-
education
Documentation
Principles
-
ANS
-
confidential
-
accuracy:
exact
time/date,
correct
spelling,
precise
measurements
-concise/brief:
fragmented
sentences,
abbreviations
-dont
leave
spaces,
readable,
presented
in
order
of
occurrence
-OBJECTIVE:
support
findings
Words
to
avoid
while
documenting
-
ANS
allow,
know,
learn,
understand,
have,
become
aware
of,
always,
normal,
adequate,
good,
average,
poor
BE
SPECIFIC**
Examples
of
documentation
-
ANS
-
where
is
the
pain
-
vitals
-
D.
DeMore,RN
not
DD
RN
-
mg
of
drug
not
ml
-describe
cough
-military
time
-where
was
IV
started
-NO
spaces
so
people
can't
come
and
add
to
notes
-draw
one
line
if
mistake
occurs
-explain
why
you
are
deleting
something
-
never
say
you
are
going
to
return
at
a
certain
time Nursing
process
-
ANS
1.
assess
2.
diagnose
3.
plan
4.
implement
5.
evaluate
Types
of
Wounds
-
ANS
1.
Surgical
2.
Contusion
3.
Abrasion
4.
Laceration
5.
Pressure
Injury
6.
Puncture
what
is
the
depth
of
the
wound,
clean
vs.
contaminated,
closed
vs.
open
Surgical
wound
-
ANS
staples
red
does
not
mean
wound
is
infected
approximated
Wound
approximation
-
ANS
edges
of
the
wound
are
together
Contusion
wound
-
ANS
caused
by
a
blow
to
the
body
by
a
blunt
object
bruising
occurs
EX:
punch
Abrasion
wound
-
ANS
superficial
damage
to
the
skin,
no
deeper
than
the
epidermis.
It
is
less
severe
than
a
laceration,
and
bleeding,
if
present,
is
minimal.
Laceration
wound
-
ANS
produced
by
the
tearing
of
soft
body
tissue.
This
type
of
wound
is
often
irregular
and
jagged.
A
laceration
wound
is
often
contaminated
with
bacteria
and
debris
from
whatever
object
caused
the
cut.
Pressure
Injury/
wound
-
ANS
localized
damage
to
the
skin
and
underlying
soft
tissue
usually
over
a
bony
prominence
or
related
to
a
medical
or
other
device
the
injury
can
be
intact
skin
or
an
open
ulcer
result
of
intense
or
prolonged
pressure
or
pressure+shear
combo
Puncture
wound
-
ANS
An
injury
that
is
caused
by
a
pointed
object
that
pierces
or
penetrates
the
skin.
Puncture
wounds
carry
a
danger
of
tetanus.
Inflammatory
Response
-
ANS
1.
Arterioles
constrict
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