Quality Nursing Practice

Running head: ISBAR ISBAR Name of the Student Name of the University Author Note ISBAR INTRODUCTION ISBAR is one of the frameworks used to represent a standard approach for effective form of communication in such a way that it includes all the necessary information and cane b used in any situation to look up the patient’s information (Burgess et al., 2020) . The abbreviation stands for introduction, situation, background, assessment and recommendation. As the terms suggest , all have their role to play for all the necessary infor mation for a concerned patient (Ramasubbu, Stewart, & Spiritoso, 2017) . The current paper aim s to process an ISBAR document for a patient at the time of handover so that the next staff can take efficient care and act necessaril y. ISBAR Introduction Nam e of the patient is Lucy O’ Rielly who was born on 26/02/1993 . She went to a general practitioner clinic with her ailing symptoms. Assessment s are being done before the general practitioner sees the patient. Situation Lucy has been visiting the general practitioner f or the first time. She had moved to Australia only a few weeks ago . She has been vomiting multiple times a day and feeling lethargic as well. She had some takeaway food two days back and has been vomiting after having that food. The main con cern is vomiting and pain being experienced by the patient. Background The patient is n ot on any current medications . It has been reported that she has no allergy history, PMH is also nil . She moved to Australia exactly four weeks ago and l ives with h er Comment [as1]: Waste of words count, unnecessary , we only have 700 words so please do proper ACADEMIC WRITING ISBAR WITH PROPER REFERENCE AS PER QUESTION AND CRITERIA Comment [as2]: Mindful of word count, we only have 700 words and she is having pain 8/10, pale,temp and vomiting, and as you can see in med chart, you can say paracetamol, neurofen and metoclopramide is there in nurse initiated part, and please mention she is allergy wit h ibuprofen so we are giving paracetamol so this part need APA 7 th reference so we are not giving neurofen ISBAR husband and a 2 -year -old son . She is a keen horse rider and does not smoke. She must r emains busy which can be accounted for the reason of tak eaway food . Physically she appears to be fit as the sport in which she is interested i n full physical regime Assessments Primary assessment in relation to Standard 4 given by NMBA , which is aligned with the comprehensively conduct an assessment (NMBA, 2021) . Airway seems to be clear which indicates that no respiratory infection is present in the body of the patient (Bell et al., 2021) . Breathing is normal and talking in full sentences which indicates that clear airways are have contributed to the proper exchange of gases . Circulation concerned with cap refill is