VSim - Doris Bowman

4. What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format. Situation: My name is Molly Dombrowski, I am a student nurse at Bridgeport Hospital. I’m calling about my patient Doris Bowman whom was complaining of a pain level of 6/10. I administered 2mg of Morphine IV push and she almost immediately went into respiratory distress. Background: Doris Bowman is a 39-yr old female who underwent a total abdominal hysterectomy with bilateral salpingo-oopherectomy under general anesthesia. She tolerated the procedure well, without any complications. She has an abdominal incision covered with 4x4 gauze and no drainage. IV of potassium chloride in 5% dextrose and normal saline is infusing at 125 mL/hr. Estimated blood loss was 400 mL. She has Foley catheter placed with 200 mL urine output and compression stockings on. Assessment: Ms. Bowman’s vital signs are: BP: 142/80 mm Hg, RR: 21-chest is moving normally on both sides. SpO2: 93% room air, Pulse: 107, TEMP: 99F. PAIN: 5/10. She has a normal skin turgor. Her skin is cool and sweaty. She has about 200 mL of clear urine in bag. Her IV sites have no redness, swelling, infiltration, bleeding or drainage. Her abdominal dressing is dry and intact. Recommendation: Is to keep an eye on Ms. Bowman’s vital signs, breathing, and pain level closely. I will monitor for sedation and her respirations