Question

This is has to be SBAR format ?

J.D. is a 32 year old male that was admitted into the acute psychiatric unit due to an acute exacerbation of paranoid schizophrenia due to aggressive behaviors in the public. Height 5’9, weight 175, vitals 131:80, pulse 64, resp 18, temp 98.7, full code, NKA, treatments: urine drug screens, IND transfer, married, catholic religion, nurse by occupation, no cultural background, no pain, regular diet, no oxygen, no wounds. Patients admitting diagnosis was psychosis NOS. J.D. past medical history includes, hypertension, insomnia, PTSD, GERD, chemical dependency concerns (i.e. alcohol). Patient’s current psychiatric diagnosis is paranoid schizophrenia. Treatments: Urine Drug Screens. Medications include; Haldol 5 mg PO BID, Haldol Deaconate IM injection 50 mg monthly, Vistaril 50 mg PO TID for agitation, Zyprexa 10 mg at HS, Antabuse 225 mg daily, trazadone 50 mg HS, omeprazole 20 mg at HS, prazosin 1 mg at HS, Neurontin 100 mg PO.

Answer 1

SBAR format is the acronym for situation, background, assessment, and recommendation. This technique allows a more efficient and prompt way of communication with healthcare professionals.
From the above image, you can assess this format for the mentioned question.

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