Let's say you are giving RN to RN shift report on a 14y/o patient admitted for asthma.
"This is Jane Doe, 6y/o patient of Dr. Jones admitted on March 13th for an asthma exacerbation. Mom reports that Jane began having cold symptoms 4 days ago. Jane has NKA. Last VS-HR-109, RR-32, BP-112/72, T-38.2, P-o (faces scale), wt-42kg. Currently, she is on room air and her sats have been between 96 and 98%. She has not required any oxygen for me on this shift but has remained slightly tachypnic during the day. She still has some expiratory wheezes. Her breath sounds are clear but diminished in the LLL. She has a BVM at the bedside. She still has not been eating or drinking well so I have kept her D51/2 NS with 20 of K running at 45ml/hr. She has a PIV to her left forearm that is intact. She has good urine output and has voided 4 times on my shift with the smallest measured amount at 150mL. Her last BM was yesterday afternoon. Bowel sounds are present in all four quadrents and her abdomen is non-tender and non-distended. She has been receiving albuterol treatments Q4h , 20mg of prednisone Q6h, 500mg of Amoxicillin BID and has not required any PRN medications for pain or nausea on my shift. She did have 650mg of tylenol on the previous shift at 2200 for a headache and this seems to have resolved.
Which part of SBAR is this?
