Question

Miss Elizabeth Brown Age: 31 years Doctor: Tata Gravida 1 Para 0 EDC/EDD: 02/17/21 Admission Date: 10/15/2020 Weeks of Gestation: 21 weeks Allergies: No Known Allergies (NKA) Blood Type: B- VDRL(test for syphilis): Non Reactive Rubella: Non immune Hepatitis B: Positive HIV: Positive Gonorrhea and Chlamydia: Positive Medical History: Depression in the past Admit. Diagnosis: Incompetence cervix Cerclage surgery scheduled on 10/15/2020. Why is her GBS unknown Amniotic test done, results pending before cerclage why? Explain ISBAR Assessment Psychological evaluation why? Recommendation: Indocin 25mg q6h COVID test results pending. Explain why? NPO Medication: Prenatal vitamin, Iron(ferrous sulfate) Lactated Ringer 125cc/hr (500cc left when arrived in her room, how long will it take to finish) Medication template for the three meds.

Answer 1

WHY IS GBS UNKNOWN AMNIOTIC TEST DONE?

• GBS screening test is the prenatal Group B streptococcus (GBS) screening.
• Group B strep is the common name for the bacterium Streptococcus agalactiae that can be present in the digestive tract and genital tract.
• It rarely causes symptoms or problems in healthy adults but can cause infections and serious illness in newborns who become infected before or during labor and delivery.
• GBS screening identifies the presence of the bacteria in the vaginal or rectal area of a pregnant woman.
• GBS can cause early onset GBS disease that occurs within the first week after birth.
• GBS can cause serious infections such as pneumonia, sepsis, and meningitis

ISBAR Assessment psychological evaluation

• ISBAR stands for Introduction, Situation, Background, Assessment and Recommendation.
• The ISBAR framework represents a standardized approach to communication which can be used in any situation

ADVANTAGES

• Ensures completeness of information and reduces likelihood of missed data
• Is an easy and focussed way to set expectations for what will be communicated.
• Ensures a recommendation is clear and professional
• Gives confidence in communication
• Focuses not on the people who are communicating but on the problem itself

ELEMENTS

• INTRODUCTION: who you are, where you are, and why you are communictaing
• SITUATION: What is happening at the moment
• BACKGROUND: What are the issues that led up to this situation
• ASSESSMENT: What do you believe the problem is
• RECOMMENDATION: What should be done to correct this situation.

WHERE CAN ISBAR BE USED

• Shift changes
• Discharge to community services
• Inter hospital transfers
• Intra hospital transfers
• Time critical situations such as medical emergencies or evacuations
• Procedure documents
• Reports, memorandums and briefings

WHO CAN USE ISBAR

• Doctor to doctor
• Nurse to nurse
• Nurse to doctor
• Doctor to allied health
• To and between wardstaff, housekeeping, and clerical staff