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Case Study 4.3

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Jean uses SBAR as a nurse in labor and delivery. When caring for Mrs. Jones, she calls the obstetrician to report, “Here's the situation. I have some concerns about Mrs. Jones' baby related to the fetal heart rate. For the past two hours the baby has had a rising baseline from 135 to 170. Now, the strip has minimal variability with no elicited fetal heart rate accelerations using vibroacoustic stimulation and position change. I need you to come and visualize this strip and assess the situation. When can I expect you?”

1 What critical information does Jean communicate with the physician?

2 How does this clear communication enhance patient safety?

3 How do you suppose the physician responded to Jean's telephone call?

Kelly Vana's Nursing Leadership and Management

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