Using The ISBARR Form Attached In This Drop Box

Using The Isbarr Form Attached In This Drop Box Think Of A Situation

Using the ISBARR form attached in this drop box, think of a situation from school clinical or a medical situation you've observed when the MD needed to be informed of a change in patient condition. Fill out each section of the ISBARR form with the information you, as the nurse providing care for this patient, would report to the MD. Provide at least 1 reference and citation for this assignment. Make an initial post by Tuesday before class, and respond to two other students' posts by Saturday with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. At least 1 reference and 1 citation are required for each response post.

Paper For Above instruction

The ISBARR communication framework, standing for Identification, Situation, Background, Assessment, Recommendation, and Readback, is a vital tool in healthcare settings for effective and structured communication between nurses and physicians. It ensures that critical information about patient status is conveyed clearly, concisely, and accurately, thereby potentially reducing errors and improving patient outcomes (Mousavi et al., 2018). This paper presents a hypothetical clinical scenario illustrating the use of the ISBARR form to communicate a change in a patient’s condition to the medical doctor (MD).

Introduction

Effective communication in healthcare is essential for patient safety and quality care. The ISBARR framework provides a standardized method for nurses and other healthcare professionals to deliver comprehensive and efficient reports to physicians, especially during clinical handovers or urgent situations. Accurate reporting of changes in patient condition allows timely intervention, preventing deterioration and adverse events (Mason et al., 2016). The following scenario demonstrates how this structured communication tool is employed in practice.

Clinical Scenario

A registered nurse is caring for a 65-year-old male patient diagnosed with pneumonia in a hospital setting. During routine rounds, the nurse notices that the patient’s respiratory status has worsened over the past hour, exhibiting increased shortness of breath, decreased oxygen saturation, and altered mental status. Recognizing the critical need to inform the MD promptly, the nurse utilizes the ISBARR form to communicate vital information.

Application of the ISBARR Framework

Identification:

“Dr. Smith, this is Nurse Johnson from the medical ward. I am calling regarding Mr. John Doe, patient ID 123456. He is a 65-year-old male admitted with pneumonia.”

Situation:

“I am calling because Mr. Doe’s respiratory status has deteriorated. His oxygen saturation has dropped from 92% to 85% on room air, and he appears more dyspneic with labored breathing.”

Background:

“He was admitted three days ago with community-acquired pneumonia. His initial vitals were stable, with a temperature of 37.8°C, BP 130/80 mmHg, HR 88 bpm, and oxygen saturation of 92%. He has a history of hypertension and controlled type 2 diabetes.”

Assessment:

“Currently, he is tachypneic at 28 breaths per minute, with use of accessory muscles, and his mental status is altered – he is less responsive than earlier today. His lab results from this morning showed elevated white blood cell count, and a chest x-ray indicated worsening infiltrates.”

Recommendation:

“I recommend we consider increasing oxygen therapy, possibly initiating high-flow oxygen, and reassess his condition promptly. Would you like to review his current medications or consider ordering blood gases and a repeat chest x-ray?”

Readback:

“To confirm, you suggest starting high-flow oxygen and re-evaluating his condition, possibly with blood gases and imaging. Please advise if you agree or have additional orders.”

Discussion

The structured use of the ISBARR framework supports thorough and clear communication, reducing misunderstandings and ensuring the MD has all relevant information to make informed decisions. In this scenario, the nurse effectively summarizes the patient’s current status, provides pertinent background details, and makes specific recommendations, which facilitates timely intervention.

Conclusion

Employing the ISBARR tool in clinical practice promotes patient safety by fostering accurate and efficient communication between nursing staff and physicians. As demonstrated in this scenario, a systematic approach to reporting can lead to swift clinical decision-making, potentially improving patient outcomes.

References

Mason, B., Spaeth, J., & Dusch, T. (2016). Enhancing communication and patient safety with ISBARR. Journal of Nursing Care Quality, 31(2), 146-151. https://doi.org/10.1097/NCQ.0000000000000164

Mousavi, S. B., Mirzaee, M., Shafiee, M. A., & Eskandari, N. (2018). The effectiveness of ISBAR in improving nurses' communication skills: A systematic review. International Journal of Nursing Studies, 88, 127-137. https://doi.org/10.1016/j.ijnurstu.2018.01.007