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Perinatal SBAR |
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Before Calling The Physician Or CNM |
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1. Assess the patient. |
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2. Read most recent notes. |
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A 30-60 Second Report |
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3. Have the chart in-hand. |
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SBAR Report |
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Obstetric Patients |
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Newborn/Pediatric Patients |
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Anesthesia Patients |
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Identify yourself and where you are calling |
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Identify yourself and where you are |
GOAL: Anesthesiologist and |
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from |
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calling from |
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Obstetrician/CNM conversation |
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Patient’s name and reason for report |
Baby Boy or Girl __________ and reason |
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All Red Cesarean Sections, Use “911” |
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• Patient was admitted for:_____________ |
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for report: |
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Situation |
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prefix for pagers |
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• I am concerned about: |
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O Oxyhood use, icterus, etc. |
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• Identify yourself and where you are |
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FHR |
I am concerned about: |
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calling from |
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Contraction Pattern |
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Respirations, SaO2, |
• “I’m calling for Dr.________ for a |
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O Blood Pressure (give examples) |
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Temperature |
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[]Red []Yellow []Green C/S |
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Vaginal Bleeding, etc. |
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Blood Sugar |
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[]Epidural ___________________” |
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Gravida___ Para___ @___ weeks gestation |
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Baby born via []C/S (give reason for____) |
• Gravida__ Para__ @__ weeks gest. |
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• OB or CNM attending ________________ |
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[]NSVD []Forceps |
[]Vacuum Extractor |
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Reason for C/S:________________ |
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Background |
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Significant medical and obstetrical history |
Apgar Score, any resuscitative measures |
• Significant medical and obstetrical |
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includes:____________________________ |
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GBS Status and treatment prior to birth |
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history includes ______________ |
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Problems with current pregnancy are______ |
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Significant maternal history |
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NPO Status |
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Relate the complaints by the patient and the |
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Relate the physical assessment pertinent to |
• Does patient currently have a labor |
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pain level |
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the problem, especially any changes |
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epidural? |
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Maternal Vital Signs |
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Vital Signs are: |
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Vital Signs are: |
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FH=Variability, Baseline, Accelerations, |
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O Respiratory status, presences of |
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Maternal issues |
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Decelerations, Contraction Pattern |
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grunting, flaring, retractions? |
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Fetal issues |
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NICHD Language: see back of form. |
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TPR, SaO2 |
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• Contraction Pattern, VE, Current |
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Assessment |
Significant Lab Values |
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O Blood glucose levels, feedings |
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labor status |
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Intrauterine Resuscitative Measures |
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Significant Lab Values |
Significant Lab Values |
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Give your conclusions about the present |
Give your conclusions about the present |
• Current status in preparation for OR |
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situation. Words like “might be” or “could |
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situation. Words like “might be” or |
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be” are helpful. |
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“could be” are helpful. |
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Clinical Impressions, Concerns |
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What I need from you is_______________ |
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What I need from you is______________ |
• What time can we be ready for you? |
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Be specific about a time frame |
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Be specific about a time frame |
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Suggestions for tests/treatments: |
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Suggestions for tests/treatments: |
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Recommendation |
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O Liver Function Studies, CMP, UA, |
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O IV, Antibiotics, Chest Xray, |
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Pitocin, Methergine, Magnesium |
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CBC, cBG’s, ABG’s, NPO if |
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Level, Coagulation Profile, KB, |
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significant resuscitative efforts, |
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Antibiotics, Brethine, etc. |
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etc. |
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Clarify orders, vital sign frequency, under |
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Clarify orders, vital sign frequency, under |
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what circumstances to call back, |
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what circumstances to call back, |
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