Kidney Disease Exam for 2024
Using the SBAR format, identify the info. Nurse Allyson
received from report that will enable her to provide safe care to
Mr. Jones.
S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness.
After treatment, he is transferring to the telemetry unit.
B - Background
60 year old African-American male with a history of peripheral
vascular disease, type 2 diabetes, chronic kidney disease,
coronary artery disease, and atrial fibrillation.
A provider recently discharged him from the facility after he
treated Mr. Jones for atrial fibrillation and a type 2 diabetic ulcer
of the right foot.
Mr. Jones did not complete prescribed antibiotics after his
discharge.
He is non compliant in managing his diabetes. He smokes one
pack of cigarettes a day and uses alcohol 3 to 5 times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are:
BP 112/70, P: 158, R: 34, T: 99.1, and O2 sat 91% on 2 L via
nasal cannula. ECG indicates atrial fibrillation; placed on
telemetry. Chest x-ray: opacities greater in the right lung than