Question

I need a SBAR on a fake patient with a ruptured ectopic pregnancy

Type of Setting (Acute care, ER, ICU, Primary Care, LTC, etc.) For privacy do NOT give the name of the organization:

Pseudonym: For privacy Pseudo Initials only. Change other details such as age, gender, marital status, or occupation to protect privacy*

Chief Complaint:

HPI: OLD CARTS or OPQRST or similar

Focused Review of Systems (only pertinent negative and positives)

Pertinent Past Medical History (include prescriptions)

Pertinent Family History, if any

Objective Findings (PE):

Assessment (multiple problems possible)

Plan (to address above problems, one of which will be SBAR)

*Blend non-essential case details from multiple experiences to protect patient privacy or create a wholly hypothetical case.

SBAR is a communication rubric that provides a framework to efficiently communicate a patient’s status/condition/needs to other members of the health care team. This style of communication can be used more broadly than for rescue, although that is a common use. You may use the template immediately below to record your SBAR:

S	Situation
B	Background
A	Assessment
R	Recommendation

Answer 1

sbar on (hypothetical case) of ruptured ectopic pregnancy

s-situation:

name of the patient: mrs. x

patient's hospital status (......)

findings of the present assessment: temperature - 99 degree fahrenheit, pulse 120beats/min,respiration 20 breaths/min, blood pressure 90/60mm of hg.

vital parameters are found to be alarming and needs emergency attention.

b-background:

focused review of systems

• mental status: confuse and disoriented, lethargic and dizzy, weak reponse to stimuli
• skin: skin is pale, cool
• pain: in the lower back and shoulders
• slight vaginal bleeding

pertinent past medical history: pelvic inflammatory disease and previous ectopic pregnancy a year back.

pertinent family history: family history of tubal disease

a-assessment:

i think the probable diagnosis is ruptured ectopic pregnancy

she needs emergency diagnosis and treatment

objective findings: lethargic, pale, disoriented, vaginal spotting

r-recommendation:

• referral to emergency consultant
• transfer the patient to intensve care unit
• start iv fluids as per physician's order
• monitoring of vital parameters every 5 minutes

tests needed: ecg, hcg test, ultrasound

if ectopic, laproscopic surgery or dilatation and currettage (emergency surgery)