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Choose the most appropriate option. Select the most appropriate report for the Situation stage of the SBAR. My patient is Ms. Khan, a 44-year-old female with type 1 diabetes who has just had a cholecystectomy. Surgery was successful and she's recovering now on our unit. All of her incisional dressings are dry and intact. Her estimated blood loss is 50 mL . She's normally on an insulin pump. She seems to be doing OK and is coming out of anesthesia. My patient needs insulin orders because she's just out of a cholecystectomy. Her surgery was successful and she's recovering on our unit. She's normally on an insulin pump, but the pump is with her husband.

Ask by Griffin French. in the United States
Jan 21,2025

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**Situation:** Ms. Khan, a 44-year-old with type 1 diabetes, had a successful cholecystectomy. She's recovering in the unit with dry, intact incision dressings and 50 mL of estimated blood loss. She's coming out of anesthesia and needs insulin orders since her insulin pump is with her husband.

Solution

In the SBAR (Situation, Background, Assessment, Recommendation) format, the Situation stage should provide a concise overview of the current status of the patient. Based on the information provided, the most appropriate report for the Situation stage would be: **Situation:** "My patient is Ms. Khan, a 44-year-old female with type 1 diabetes who has just had a successful cholecystectomy. She is currently recovering in our unit, with all incisional dressings dry and intact. Her estimated blood loss during surgery was 50 mL. She is coming out of anesthesia but requires insulin orders as her insulin pump is with her husband." This report clearly states the patient's identity, current condition, recent surgery, and immediate needs, which are essential for effective communication in a clinical setting.

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In crafting a Situation report for SBAR, it's vital to clearly state the current condition of the patient. In this case, you could say, "Ms. Khan, a 44-year-old female with type 1 diabetes, has just undergone a successful cholecystectomy and is currently recovering in our unit. All incisional dressings are dry and intact, and her estimated blood loss was 50 mL. She appears to be recovering well as she is coming out of anesthesia." For the assessment, it’s essential to highlight the need for immediate action regarding her insulin management. A suitable report would be, "Given that Ms. Khan is usually managed with an insulin pump, which is currently with her husband, we need to establish insulin orders to ensure her blood glucose levels are adequately managed post-surgery."

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