Читать книгу Essential Guide to Acute Care - Nicola Cooper - Страница 26

Situation State who you are, where you are, and why you are calling

Background Summarise the patient’s relevant history

Assessment Communicate the patient’s vital signs and key test results

Recommendation State clearly what you want to happen next

Readback The listener should summarise what they think you have said and what they are going to do now

Example:

 Hi – I am Dr X calling from Ward 1 about a sick patient I think may need ICU. Joe Bloggs, 45 years old, no past medical history, was admitted with community acquired pneumonia this morning with a NEWS2 of 3. Over the course of the day, his oxygen requirements have been going up and his blood pressure is now low despite fluid challenges.His current vital signs are: Alert, BP 90/50, HR 110, SpO2 89% on 15 L oxygen via reservoir bag, RR 26, temperature 38°C. A repeat chest X‐ray shows worsening consolidation of the right lung and a repeat blood gas shows … I’d be really grateful if you can come and assess him urgently.