Shadow Health Assignment 1:
Prioritization and Leadership
Bedside Report: AP Part 2 - correct answer-Ben: Mr. Patel has been unable to keep food
and drink down for two days, ever since his symptoms started. He says he has never
experienced gastrointestinal symptoms like this before. I took Mr. Patel's vitals about half an
hour ago. He has a temperature of 99.1 degrees Fahrenheit, a heart rate of 102 BPM, and
his blood pressure is 88/55 mm Hg. His oxygen saturation is 98%. For his dehydration,
we've started Mr. Patel on 0.9 normal saline IV at a rate of 100 ml/hr. For his nausea, we've
started him on 25 mg of intramuscular promethazine every four hours. Mr. Patel has type II
diabetes mellitus and hypertension. No allergies to food or medication.
Is there anything that Ben left out of the Background section of his SBAR report?
RESPONSE:
Does Mr. Patel take any home medications for his medical conditions?
Current orders, medications, and treatments belong in the Background of a Shadow General
SBAR report, and can help you understand what led up to a patient's current condition.
Bedside Report: AP Part 3 - correct answer-Ben: Here's my assessment of what's going on
with Mr. Patel. His gastroenteritis has continued throughout the morning and he's been
slightly groggy. He doesn't report pain but has been unable to get comfortable. We're still
trying to figure out exactly whats going on with his blood glucose, but we're going to continue
keeping a close eye on him. [AUDIO COMING SOON]
Is there anything that Ben left out of the Assessment section of his SBAR report?
RESPONSE:
What is Mr. Patel's blood glucose?
Abnormal vitals are part of the Assessment stage of a Shadow General SBAR report. Since
Mr. Patel is diabetic, his blood glucose is an important factor in his assessment.
Bedside Report: AP Part 4 - correct answer-Ben: I recommend that you monitor Mr. Patel's
fluid input and output hourly and that you check his blood glucose with the glucose meter
every hour. Keep him on the 0.9 normal saline at the current rate unless his fluid input and
output even out, or unless otherwise indicated by the results of his labs. Keep him on the
promethazine every four hours for now, and reduce to as needed if his nausea clears up. All
of his provider orders have been completed for now, and he doesn't have any procedures
scheduled today.
Is there anything that Ben left out of the Recommendation section of his SBAR report?
RESPONSE:
Is Mr. Patel expecting any family to come visit today?
You will need to know if and when your patient will have visitors so that you can schedule
tasks around those visits.
Bedside Report: AP Part 5 - correct answer-Ben: Do you have any questions for me?
Prioritization and Leadership
Bedside Report: AP Part 2 - correct answer-Ben: Mr. Patel has been unable to keep food
and drink down for two days, ever since his symptoms started. He says he has never
experienced gastrointestinal symptoms like this before. I took Mr. Patel's vitals about half an
hour ago. He has a temperature of 99.1 degrees Fahrenheit, a heart rate of 102 BPM, and
his blood pressure is 88/55 mm Hg. His oxygen saturation is 98%. For his dehydration,
we've started Mr. Patel on 0.9 normal saline IV at a rate of 100 ml/hr. For his nausea, we've
started him on 25 mg of intramuscular promethazine every four hours. Mr. Patel has type II
diabetes mellitus and hypertension. No allergies to food or medication.
Is there anything that Ben left out of the Background section of his SBAR report?
RESPONSE:
Does Mr. Patel take any home medications for his medical conditions?
Current orders, medications, and treatments belong in the Background of a Shadow General
SBAR report, and can help you understand what led up to a patient's current condition.
Bedside Report: AP Part 3 - correct answer-Ben: Here's my assessment of what's going on
with Mr. Patel. His gastroenteritis has continued throughout the morning and he's been
slightly groggy. He doesn't report pain but has been unable to get comfortable. We're still
trying to figure out exactly whats going on with his blood glucose, but we're going to continue
keeping a close eye on him. [AUDIO COMING SOON]
Is there anything that Ben left out of the Assessment section of his SBAR report?
RESPONSE:
What is Mr. Patel's blood glucose?
Abnormal vitals are part of the Assessment stage of a Shadow General SBAR report. Since
Mr. Patel is diabetic, his blood glucose is an important factor in his assessment.
Bedside Report: AP Part 4 - correct answer-Ben: I recommend that you monitor Mr. Patel's
fluid input and output hourly and that you check his blood glucose with the glucose meter
every hour. Keep him on the 0.9 normal saline at the current rate unless his fluid input and
output even out, or unless otherwise indicated by the results of his labs. Keep him on the
promethazine every four hours for now, and reduce to as needed if his nausea clears up. All
of his provider orders have been completed for now, and he doesn't have any procedures
scheduled today.
Is there anything that Ben left out of the Recommendation section of his SBAR report?
RESPONSE:
Is Mr. Patel expecting any family to come visit today?
You will need to know if and when your patient will have visitors so that you can schedule
tasks around those visits.
Bedside Report: AP Part 5 - correct answer-Ben: Do you have any questions for me?
