Fairly easy

During handover, which information best represents the assessment part of SBAR?

Correct answer: B. The patient’s respiratory rate is 30 per minute and oxygen saturation is 88%.

  • A. The patient was admitted with pneumonia yesterday.
  • B. The patient’s respiratory rate is 30 per minute and oxygen saturation is 88%.
  • C. The patient needs review by the medical officer now.
  • D. The patient has a history of chronic bronchitis.

Explanation

Assessment states the nurse’s current clinical findings and interpretation, such as abnormal respiratory rate and oxygen saturation. Situation identifies the immediate problem, background gives relevant history, and recommendation states what action is needed.

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About Documentation, Reporting and Communication

Documentation covers accurate, timely and objective nursing records, charting formats, incident reports, medication records, confidentiality and legal accountability. Communication includes therapeutic listening, questioning, empathy, handover and reporting using a structured method such as SBAR, while distinguishing subjective patient statements from objective observations.

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