Question

This assignment is worth 4.0% of your final grade and is due by Thursday, 11:59 PM ET of week 7.

Instructions

There are many tools available to assist you as an RN to organize your thoughts, make nursing judgments, and implement the 5 rights of delegation. SBAR – Situation, Background, Assessment, and Recommendation, is a standardized tool used in many institutions that provides a framework to facilitate clear communication between health care providers.

The components of SBAR are as follows, according to the Joint Commission:

• Situation: Clearly and briefly describe the current situation.
• Background: Provide clear, relevant background information on the patient.
• Assessment: State your professional conclusion, based on the situation and background. State what it is you are concerned about. Identify role responsibilities.
• Recommendation: Tell the person with whom you’re communicating what you need from him or her, in a clear and relevant way. Confirm that they understand your request.

Read the following patient care scenario.

Mrs. Evans is an 86-year-old female that has been assigned to your team. She was admitted to the hospital four days ago with pneumonia. Mrs. Evans was placed on IV antibiotics and cough suppressants and her condition improved. The night RN reports that now Mrs. Evans has an increased cough. Her temperature at 6:00 am was 100.4 degrees F, her heart rate was 98 beats per minute, her BP was 98/50 mmHg, and her respiratory rate was 22 breaths per minute. You are working with the Assistive Personnel (AP) Eric, today. You will be delegating the task of obtaining Mrs. Evan's vital signs every 2 hours instead of the routine every 4-hour schedule to Eric.

Develop an SBAR to address delegating to the Assistive Personnel.

Under the column, RN statement, identify what you will say to the AP for each step of the SBAR. In the next column, Five Rights of Delegation/Explanation, identify which of the five rights of delegation your statement addresses and provide a brief explanation for your answer.  

SBAR

SBAR Step	RN Statement	Five Rights of Delegation/ Explanation
Situation
Background
Assessment
Recommendation

Answer 1

SBAR STEP	RN STATEMENT	5 RIGHTS OF DELEGATION
situation	Patient has temperature of 100.4 degree F now. Her vital signs is unstable. so need to monitor the patient carefully as patient is admitted for pneumonia.	right task
background	patient is already admitted for pnuemonia and had severe cough. By night, the cough increased and had high temperature .	right circumstances
assessment	vital signs looks unstable and need careful monitoring. So need to check the temperture every 2 hourly.	right person. An AP can check the vital signs and can inform the RN if any deviations
recommendation	need to check the vital signs every 2 nd hourly rather getting the vital signs 4th hourly so that the RN can identify any deviations for the patient and can decide upon the correct plan of action.	right communicaion and right supervision is necessary which are both the successful factors for implentation of good care to the patient.