DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL
(REASON FOR TEST AND RESULTS) FINDINGS
ANTICIPATED NURSING INTERVENTIONS
, vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION
Your name, positon (RN), unit you are
working on
SITUATION
Patent’s name, age, specific reason for visit
BACKGROUND
Patent’s primary diagnosis, date of
admission, current orders for patent
ASSESSMENT
Current pertnent assessment data using head
to toe approach, pertnent diagnostcs, vital
signs
RECOMMENDATION
Any orders or recommendatons you may have
for this patent