Rachel Adler Shadow Health Alcohol Abuse -Subjective interview and SBAR

Shadow Health Focused Exam: Rachel Adler – ETOH Chief Complaint Finding: Established chief complaint and reason for admittance Finding: Reports car accident Example Question: Why were you admitted? Finding: Reports injury Example Question: What caused your injury? Finding: Reports passive suicidal ideation Example Question: What brings you in today? History of Present Illness Finding: Followed up on details of car accident Finding: Example Question: Did you lose consciousness during the car accident? Finding: Reports being unsure of how the accident happened Example Question: Do you know what caused the car accident? Finding: Reports wearing seatbelt Example Question: Were you wearing a seatbelt? Finding: Reports being the driver - no other passengers in car Example Question: Who was driving before the car accident? Finding: Reports was told she would get a ticket for DUI Example Question: What caused the car accident? Finding: Followed up on alcohol use just prior to car accident