SBAR Clinical Log Assignment
SBAR Clinical Log Assignment Paper
SBAR Clinical Log Assignment Paper

Complete the \”SBAR Clinical Log\” to document your total clinical hours completed to date, a description of observations and tasking completed, and additional comments regarding your practicum Experience. You will also complete the \”SBAR,\” section of the form related to a patient you have assessed during your clinical experience thus far. SBAR Clinical Log Assignment Paper

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SBAR Clinical Log

Clinical Practicum Experience

Total Clinical Hours completed to date: 42 hours
Description of Observations and Tasks during the Practicum Experience The tasks and observations completed during the practicum experience included patient assessment, history taking, physical examination, ordering of investigations, and treatment.
Student Comments on Practicum experience This has so far been a very fulfilling experience in terms of instilling clinical acumen in us as future nurse practitioners who will be tasked with providing primary health care

SBAR
Complete the “SBAR,” related to a patient you have assessed during your clinical experience thus far.

Situation
This was me as the student nurse practitioner at the outpatient department. I had a patient by the name Mr. Appleton who brought himself to the outpatient department. He was faint and pale. His blood pressure was 100/55 mmHg and his heart rate was 110 b/m. he came with peptic ulcer medication and placed them on my table. He looked fatigued and weak. I immediately suspected that he was having a perforated ulcer which is a surgical emergency.

Background
Mr. Appleton, a 32 year-old Caucasian, came walking to the hospital because he works in an adjacent building. He gave a history of having suffered from gastric ulceration for about three years. He was on medication for the same in terms of a proton pump inhibitor. He started feeling faint suddenly as he was going about his work in the office. He decided to come to the hospital when he started feeling like sleeping. SBAR Clinical Log Assignment Paper

Assessment
His vital signs were: Temperature: 37.1 °C, BP: 100/55 mmHg, Pulse: 110 b/m, RR: 25/ min, and SpO2: 95%.

The patient looked very pale and fatigued.

I was sure that he had a perforated peptic ulcer and was bleeding intra-abdominally.

I immediately put him on a crystalloid drip of physiological saline to boost intravascular volume and prevent circulatory shock.

Recommendation
I had him prepared for theatre and called the resident surgeon to come urgently and perform a (exploratory) laparotomy.

References
Hammer, D.G., & McPhee, S.J. (Eds). (2014). Pathophysiology of disease: An introduction to clinical medicine, 7th ed. New York, NY: McGraw-Hill Education.

Huether, S.E. & McCance, K.L. (2017). Understanding pathophysiology, 6th ed. St. Louis, MO: Elsevier, Inc.

_220405_-_NUR-646E-RS-SBARClinicalLog.docx(WEEK_6)

NUR-646E-RS-SBARClinicalLog.docx(WEEK_6)

SBAR Clinical Log Assignment Paper