The nurse has orders to initiate and IV on a newly admitted…

The nurse has orders to initiate and IV on a newly admitted patient.  The unit has no electronic infusion devices (EIDs) to use and the nurse will calculate rate and administer the IV fluids by gravity drip.  The provider orders Lactacted Ringers 1000 ml to be administered over 7 hours.  The nurse will use the following IV administration tubing (pictured).  The nurse calculate the gravity drip rate to run at  _________drops per minute.     

The nurse calls the provider using the SBAR approach. The nu…

The nurse calls the provider using the SBAR approach. The nurse states, “I am calling about the patient Terry Smith, on Two East, University Hospital. I am concerned because her blood pressure is 210/98 (baseline is 160/86) and she is complaining of a headache, “pounding” and 8/10 scale which is new. The patient was admitted yesterday and was alert, but becoming lethargic, will follow commands and responds appropriately. Smith is pale, extremities cool. Oxygen saturation is 92% on room air. Atenolol (antihypertensive) was given one hour ago with no change in BP. I am not sure what the problem is but know that the patient appears less stable. I would suggest that you consider a transfer to the unit for closer monitoring. Is there anything that I need to be doing right now for Terry Smith?” The underlined/bolded portion of the quote reflects which component of SBAR?