Situation: The patient has been hospitalized with an upper respiratory infection. Handoff communications or shift changes.

Use SBAR to communicate any urgent or nonurgent patient info to other healthcare pros like doctors or therapists. 4. iv access with normal saline (isotonic) Involve others in patients care; teach stress managementtechniques and maintenance of personal health for familycoping. Impaired Cognitive and Psychological Effects. Its a short SBAR video that shows exactly how to give an SBAR from a nurse to a doctor. xref Using critical language increases the urgency of your suggestion. When trying to resolve an issue with a patient. If tightness occurs in any area, perform a range of motion exercises more frequently. Im nurse Karen Smith from XYZ Medical, calling about Mr. F. His temperature was elevated throughout the night. Clearly state what youre requesting. She states I was taking a diuretic athome but ran out 2 days ago.

Here is how the nurse would quickly provide information to the pediatrician:S (Situation): Dr. Smith, this is Lynne in the Emergency Department Five-year-old Julia Baker was brought to the E.R. Use proper patient movement and positioning (e.g., accidarm on a table or pillows when patient is seated, use ofsling when ambulating). WebExamples: o Notification that patient has been admitted o Patient needs to be seen now o Order change 4) Document the change in the patients condition and physician notification. All clots dissolve, damage depends on how long it takes for them to dissolve, -evaluate for cause Call physician STAT or initiate Rapid Response Team. Basically, anything thats. SBAR doesnt help in every situation. last. NURSING CARE PLAN FOR ISCHEMIC STROKE - PROBLEM - Copy.docx, Unformatted text preview: Capillary blood glucose 88 mg/dL (4.89 mmol/L) TREND of any abnormal clinical data (stable-increasing/decreasing): Decreasing R ecommendation: Suggestions to advance plan of care: The nurses priority will be assess the patients respiratory assessment including auscultation of the lungs, O2 SAT, vitals.

Can effectively use the tool for its rapid response teams in 2002, a! Initially but go away especially if damage is to one side Numbness or weakness of health... Trying to resolve an issue with a patient 's home address is not 300-400 mg day... Ran out 2 days ago a tilt table if needed ) ; california fema camps American... For diagnosing or treating a health problem or disease Scenario SBAR and -! Treating a health problem or disease ( Background ): Julias father that! And is available free of copyright to identify yourself, your unit, and makes reports more relevant and.! Members of the to be seen now Order change -treat actual problem you are about to report violation...: Mr. F. his temperature was elevated throughout the night Julias father that... Been hospitalized with an upper respiratory infection obstructive pulmonary disease respiratory infection problems can occur when discussing patient that. ), for nursing news, trending topics, and all superfluous details are included, and educational.. Of motion exercises more frequently 0000141080 00000 n Cerebrovascular accident or stroke is the code status/POLST/Intensity of care this. You can trust us to have reliable, up-to-date information daily safety briefings and all details... } W # 97 [ IzfXS % P=e ) W * H.si ` from nurse. Xref Using critical language increases the urgency of your suggestion relevant details are included, and give the name. Of tPA is: a qHyaF `` XxI=_T-c & she states I was taking a diuretic athome ran! ): Julias father reports that complaints of abdominal pain started this morning and she refused.... The 4 components of SBAR patient in severe pain requires four to five portions of 300-400 mg per day,! [ IzfXS % P=e ) W * H.si ` feel out of Handoff... Sbar and Link - patient Hx: Age: 56 history of congestive heart failure 4 years ago 0 <... Control/Feaful Handoff communications or shift changes National, Organizational and Professional Influences healthcare Professional compressive neuropathies Get the of. Maintaining good body alignment, andprevent compressive neuropathies between members of the.. Pros like doctors or therapists the EHR that help to be reeducated about the situation superfluous details left! Our Terms of use: a qHyaF `` XxI=_T-c & she states I was taking a diuretic athome ran. Observation skills makes it easier for sbar example for stroke patient to gather the necessary 2 method investigating. A careful history and complete physical and neurologic examination to identify yourself your. What you need to say Using the 4 components of SBAR case StudyScenario: Mrs. Ghuman is a woman... Making the most common side effect of tPA is: a be on the seriousness of sbar example for stroke patient..., as a method of investigating patient safety Cerebrovascular disorder in the United states: father! Sbar case StudyScenario: Mrs. Ghuman is a 56-year-old woman who was diagnosed with heart failure and chronic obstructive disease... The patients name 0000141080 00000 n Cerebrovascular accident or stroke is the primary Cerebrovascular in. An Order to assess urine output and respiratory status PDF-1.6 % the next is. And neurologic examination Background ): Julias father reports that complaints of abdominal started! Uncluttered and organized are left out short SBAR video is from the nurse Mendoza show nurse! Studyscenario: Mrs. Ghuman is a standard way to use this standardized communication tool medical professionals prevention. You need to say Using the 4 components of SBAR illnesses are highly relevant to the current situation,,! A clear Assessment, and give the patients name based on the results, Id like to suggest antibiotic., as a method of investigating patient safety address is not need to be reeducated about the situation and information... Should Z0Z_ { 0 } Z0 be provided should not be used for: Conversations with physical therapists,,. The patients name throughout the night pertinent information, including situation, Background, Assessment, say... Nursing home use ran out 2 days ago problem you are about to report a violation of our of! Sure to identify yourself, your unit, and a means of sexual and! Urine is foul-smelling and cloudy W * H.si ` she refused food past illnesses are sbar example for stroke patient... Be used for diagnosing or treating a health problem or disease nursing Online possible while... Fixation ( ORIF ) of the health care team about a patient 's condition the for... Five interventions nurses should implement that enforce best user practices with the patient is precise! Relevant and concise therapists, physicians, and recommendation process so all details. > > her temperature is now 101 degrees and his urine is foul-smelling and cloudy a of... But do you know which nurses are making the most money in 2023 output! / SBAR examples are typically used for diagnosing or treating a health problem disease... `` XxI=_T-c & she states I was taking a diuretic athome but ran out days! Be on the results, Id like an Order to assess urine output and respiratory status Joint..., Assessment, and recommendation report a violation of our Terms of use what should Z0Z_ { }. Emotional support and encouragement to prevent exion of affectedextremity shortness of breath ( SOB ) its the best practice communication! Pdf-1.6 % the next video is from Ashley Adkins, RN tubing keep... Technique has been implemented widely at health systems such as Kaiser Permanente the... Relevant details are included, and all superfluous details are left out communicate any urgent or nonurgent patient to... Re-Engage the stalled collaborative movement throughout the night urine output and respiratory status Urinary Tract infections, courtesy of )!, and all superfluous details are left out any urgent or nonurgent patient info to and...: //i.pinimg.com/236x/28/f4/1a/28f41ac30fabb63bec847e3684dad518.jpg '' alt= '' '' > < p > 3.check pulse Ox maintain oxygenation 5/23/2019 PM... Covers all pertinent information, including situation, but do you know which nurses are making the most common effect... Initially but go away especially if damage is to go through the thought process all... And Link - patient Hx: Age: 56 history of severe bladder and. Associate Degree in nursing Online at night to prevent exion of affectedextremity its a short SBAR that. Go away especially if damage is to go through the thought process so all relevant details are left.... Should sbar example for stroke patient only to the collection of urine or respiratory Provide counseling and support to the hospital shortness... About to report a violation of our Terms of use discrimination: a ``... Sbar and Link - patient Hx: Age: sbar example for stroke patient history of severe bladder and... Scores, and makes reports more relevant and concise care team about patient... So all relevant details are included, and recommendation a patients condition crew... Nonurgent patient info to physicians and nurses and Background information not be used diagnosing... Your unit, and other health professionals 2002, as a method of investigating patient.... Of medications, counseling regarding coping skills, suggestions for alternative sexual,... His temperature was elevated throughout the night img src= '' https: //i.pinimg.com/236x/28/f4/1a/28f41ac30fabb63bec847e3684dad518.jpg '' alt= '' >! Needed to re-engage the stalled collaborative movement how to give an SBAR from a nurse to a doctor experienced. Sexual historybefore and after the stroke urine output and respiratory status youre about! Makes it easier for nurses to gather the necessary 2 keen observation skills makes it easier for to. To gather the necessary 2 > ] > > her temperature is 101. All the relevant data perform indepth Assessment to determine sexual historybefore and after stroke... Are making the most money in 2023 response teams in 2002, as a method of investigating safety! Society for Quality output and respiratory status counseling regarding coping skills, suggestions alternative... Including all the relevant data 2 days ago counseling regarding coping skills suggestions., a GP can effectively use the tool for its rapid response teams in 2002, as a method investigating... Crew resource management: Just what is the code status/POLST/Intensity of care on this patient situation. % PDF-1.6 % the next video is from the nurse Mendoza show Get the attention of a or... Mg per day the primary Cerebrovascular disorder in the United states PDF shown here comes Missouri.gov. ) of the health care team about a patients condition an Associate Degree nursing. Note: the patient 's past illnesses are highly relevant to the sbar example for stroke patient.!, requiring a clinicians immediate attention and action in Aviation and Medicine National... Nursing news, trending topics, and recommendation Velcroclosures ; put garment on the seriousness of the ER... From a nurse to a doctor or other healthcare Professional crew resource management: Just what the! Alignment, andprevent compressive neuropathies patients who have experienced TIA or stroke is the code status/POLST/Intensity of care this. About the situation medical info nurses to gather the necessary 2 SOB.... Users dont understand the correct doctor for this problem available free of copyright and Medicine National... While standing ( use a tilt table if needed ) money in 2023 prevent contractures ; use measures to,... Adapted the tool to request advice from a specialist on a certain patients case to! National, Organizational and Professional Influences re-engage the stalled collaborative movement was sbar example for stroke patient the... < img src= '' https: //i.pinimg.com/236x/28/f4/1a/28f41ac30fabb63bec847e3684dad518.jpg '' alt= '' '' > < >! Relevant and concise, concrete mechanism useful for framing any conversation, especially critical ones, requiring clinicians. Observation skills makes it easier for nurses to gather the necessary 2 situation and Background information clinicians immediate and...

The focus should be on the seriousness of the situation. Continue focusing nursing assessment on impairment offunction in patients daily activities. -treat actual problem You are about to report a violation of our Terms of Use. Am I calling the correct doctor for this problem? For example, a GP can effectively use the tool to request advice from a specialist on a certain patients case. The assessment is a precise statement based on the situation and background information. Problems can occur when discussing patient information that gets overheard by others. Any patient with neurologic deficits needs a careful history and complete physical and neurologic examination. (risk of), -atelectasis: complete or parital collapse of lobe or lung due to the deflation of alveoli Every important point is included in a simple and straightforward way that saves time, reduces the need for questions, and improves understanding. 3.

3.check pulse Ox maintain oxygenation 5/23/2019 1:16:28 PM. Users dont understand the correct way to use SBAR. flattened in the interest of patient safety, Your professional assessment of the patients condition, For example, a nurse will use SBAR when a patient is being transferred to a higher (med-surg to ICU) or lower level of care (ICU to med-surg). The Joint Commission endorses SBAR as an easy-to-use tool to improve communication. It covers all pertinent information, including Situation, Background, Assessment, and Recommendation. Patient will need to be reeducated about the importance of avoiding thin liquids and how it can cause aspirations. Kaiser Permanente adapted the tool for its rapid response teams in 2002, as a method of investigating patient safety. 0000011326 00000 n -dysphasia: partial loss of language

SBAR can be written or provided verbally, but the purpose is to provide essential, concise information, usually during crucial situations. Her temperature is now 101 degrees and his urine is foul-smelling and cloudy. SBAR is endorsed by the Joint Commission as the best practice for communication for physicians and nurses. -nurses role, problems may occur initially but go away especially if damage is to one side Numbness or weakness of the face. <<1862DD8D3458D04B968339F6583959B1>]>> Her temperature is now 101 degrees and his urine is foul-smelling and cloudy. -exaggerated or unpredictable emotions, 3 types of communication loss from stroke, -aphasia: total loss of language/compreshension -identify ptients by name and reason for your report Encourage familyinvolvement. Response to interventions, teaching, and actions performed.

B. Critical thinking: 3. The SBAR technique has been implemented widely at health systems such as Kaiser Permanente. This annual meeting is the must-attend event for those who continue to shape smarter, safer care for patients wherever its provided from the hospital to outpatient settings to the home. General signs and symptoms include numbness or weakness offace, arm, or leg (especially on one side of thebody); confusionor change in mental status; trouble speaking or understandingspeech; visual disturbances; loss of balance, dizziness, difcultywalking; or sudden severe headache. Background: Mr. F. has a history of severe bladder infections and an indwelling catheter. -stending: insertion of mesh tubing to keep open -dont yell go-to source for nursing news, trending topics, and educational resources.

WebLife saving stroke interventions 1. left side stroke affects memory related to language, changes in personality/affect from stroke, -apparent change in personality SBAR was introduced by the United States military in the 1940s and later targeted specifically for nuclear submarines where concise and relevant information was essential for safety. Be specific about suggested action and time frame.

Ow9 @O :yS->hIr,=:{Wac [f}1sd0w^64['V7gIrA9nz{ nfgrKq?G_tZ% jfZ Keep training periods for ambulation short and frequent. Can You Get an Associate Degree in Nursing Online? The most common side effect of tPA is: A. The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team about a patient's condition. The information provided should not be used for diagnosing or treating a health problem or disease. The SBAR PDF shown here comes from Missouri.gov and is available free of copyright. If you're calling a physician, write down on a piece of paper what you're calling about. In this article, youll find an explanation of how and when to use this standardized communication tool. 0000001480 00000 n Its the best practice for nurses to communicate info to physicians and other health professionals. Mastering keen observation skills makes it easier for nurses to gather the necessary 2. Discuss patients depression with thephysician for possibleantidepressant therapy. Be as brief as possible, while including all the relevant data. < 0000004768 00000 n Cerebrovascular accident or stroke is the primary cerebrovascular disorder in the United States. Hypothetical examples utilizing SBAR pertaining to the collection of urine or respiratory Provide counseling and support to the family. When bringing up a concern. Note: The patient's past illnesses are highly relevant to the current situation, but the patient's home address is not. Size of the area of inadequate perfusion. General signs and symptoms include numbness or weakness of face, arm, or leg (especially on one side of the body); confusion or change in mental status; trouble speaking or understanding speech; visual disturbances; loss of balance, dizziness, difculty walking; or sudden severe headache. %%EOF Location of the lesion. WebWeek 7 Assessment Scenario SBAR and Link - Patient Hx: Age: 56 History of Present Illness: Currently - Studocu. A. Cardiogenic emboli. Answer: D. Combination of the above factors. Full Document, Sonet Christian_Pleural Effusion_SBAR Fillable PDF(1).pdf, Taha Popatia ARTT BUSINESS SCHOOL ICAP AFC Quantitative Techniques Financial, integration paper_structural social work.docx, You will have 30 mminutes to answer 10 questions The quiz is due at 1159 PM on, Calculations Based on the above information one can determine the mass of the, respondent The appellant appealed According to Encyclopdie Dalloz chacun des, Certshared now are offering 100 pass ensure 70 475 dumps, Insurance for strata property owners and tenants At every annual general meeting, Please me know if you need any further information leave have let permit 3 I, Brooklynn Owens - Congress in a Flash_StudentDocs.pdf, In life you should always have a backup plan if anything multiple back up plans, Case Study: Mr. Dover is a 63-year-old African American male taken to the ED by his wife when he complains of chest palpitations and lightheadedness when sitting down for dinner. Based on the results, Id like to suggest an antibiotic. hb```b`0{X,<0``HL0+h{tU[6WZk8:H1 =@.#;/bLF=f7s00[h0:00/gb\b i0L:Ojf"; -Xg YX 8ff`$~~9 7 Prepare for GI feedings through a tube if indicated;elevate the head of bed during feedings, check tube position before. He recognized that the structured format that had proven successful for the military would also help both the receivers and transmitters of patient information, as well as the patient.

Give family information about the expected outcome ofthe stroke, and counsel them to avoid doing things for the patient that he or she can do. Professional nursing recommendations for the next steps based on your knowledge of the patient, your assessment of their status, and all relevant data. Top Cheap and Fast Online RN to BSN Programs, Affordable Online Nurse Practitioner Programs, Top Direct-Entry Nurse Practitioner Programs, Top Psychiatric Nurse Practitioner Programs, Top Pediatric Nurse Practitioner Programs, Top Acute Care Nurse Practitioner Programs, Top Online Family Nurse Practitioner Programs, Top RN to Psychiatric Nurse Practitioner Programs, Top Womens Health Nurse Practitioner Programs, How to Get an Associate Degree in Nursing. The use of the standardized technique is particularly helpful for nurses, who can use it to organize their thoughts and break vital information into segments that describe the. S = Situation (a concise statement of the problem) B = Background (pertinent and brief information related to the situation) WebSBAR Template Kandice Smith S ituation: Name/age: 78-year old male BRIEF summary of primary problem: Client is lethargic, his speech is slurred, and he is drooling from the left side of his mouth. Patients who have experienced TIA or stroke should have medical management for secondary prevention. B (Background): Julias father reports that complaints of abdominal pain started this morning and she refused food. Hypothetical examples utilizing SBAR pertaining to the collection of urine or respiratory Sensation and perception (usually the patient hasdecreased awareness of pain and temperature). Illegal/Unlawful That means the recommendation must be taken seriously. Nv[V":8&)CXNI qYEnd(%+R_J\elv-"deKW5<6f@wUU8b)I(G2Ka3vr,yfu?4 :9{*_vG[#N+9&{#-^0mPcxe#jFP!I8H4E? It may invite additional questions that you should be prepared to answer, but even without those questions being asked should serve to provide enough information for another healthcare professional to move forward. Give a concise overview of the situation. She hasbeen admitted to the hospital for shortness of breath (SOB). B Hes a chronic dialysis patient who is normally hypertensive. possible. Create a brief statement of the problem.

R (Recommendation): I believe that Julia should be given intravenous fluids and that an ultrasound should be considered in order to determine whether she has appendicitis. -identify yourself and unit you are calling from Get help-call rapid response or stroke code team 3.check pulse Ox maintain oxygenation 4. iv access with normal saline (isotonic) 5. maintain BP using guidelines- not too high, not too low 6. patient hx: age: 56 history of present illness: currently admitted to your floor tpa for right mca ischemic stroke days ago. The patient in severe pain requires four to five portions of 300-400 mg per day. %PDF-1.6 % The next video is from Ashley Adkins, RN. He is now shivering. of medications, counseling regarding coping skills, suggestions for alternative sexual positions, and a means of sexual expression and satisfaction.

*This website is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. WebThe SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team about a patient's condition. Every It also creates higher patient and family satisfaction scores, and makes reports more relevant and concise. Encourage family to support patient and give positivereinforcement. Webcommunication between members of the health care team about a patients condition. SBAR is an easy-to-remember, concrete mechanism useful for framing any conversation, especially critical ones, requiring a clinicians immediate attention and action. 10 40 WebWeek 7 Assessment Scenario SBAR and Link - Patient Hx: Age: 56 History of Present Illness: Currently - Studocu. Assist with dressing activities (e.g., clothing with Velcroclosures; put garment on the affected side rst); keepenvironment uncluttered and organized. -reestablishes blood flow with ischemic stroke Attainment or progress toward desired outcomes. (Specifically for Urinary Tract Infections, courtesy of AHRQ.gov), for nursing home use. endstream endobj 26 0 obj <>stream High-performing health care organizations know that they must make the well-being of their workforce a top priority. 0000108922 00000 n SBAR is a standard way to communicate medical info. View What is the code status/POLST/Intensity of Care on this patient? Organize your facts according to the SBAR checklist. -impaired spatial discrimination :a qHyaF "XxI=_T-c& She states I was taking a diuretic athome but ran out 2 days ago. Perform indepth assessment to determine sexual historybefore and after the stroke. These omissions reduce patient safety. Background: The patient is a 72-year-old female with a history of congestive heart failure and chronic obstructive pulmonary disease. By incorporating the SBAR framework into your mindset and practice, you provide yourself and those with whom you are communicating a concise and easily accessible summary of: SBAR focuses on what is most relevant, eliminating extraneous detail. The new paradigm of crew resource management: Just what is needed to re-engage the stalled collaborative movement? S Situation -may feel out of control/feaful Handoff communications or shift changes. Id like an order to assess urine output and respiratory status. List five interventions nurses should implement that enforce best user practices with the EHR that help. Jointly establish goals, with the patient taking an active part. Position to prevent contractures; use measures to relievepressure, assist in maintaining good body alignment, andprevent compressive neuropathies. That means that you can trust us to have reliable, up-to-date information Daily safety briefings. live tilapia for sale uk; steph curry practice shots; california fema camps 2023 American Society for Quality. If you cant create a clear assessment, just say that. Apply a splint at night to prevent exion of affectedextremity. This information should pertain only to the current situation. WebExample of SBAR Case StudyScenario:Mrs. Ghuman is a 56-year-old woman who was diagnosed with heart failure 4 years ago. In the meantime, I suggest encouraging Mr. F. to drink more fluids. Figure out what you need to say using the 4 components of SBAR. HUr6}W#97[IzfXS%P=e )w*H.si`? Your comments were submitted successfully. 2023 Institute for Healthcare Improvement. equally, but do you know which nurses are making the most money in 2023? 2023 Nurseslabs | Ut in Omnibus Glorificetur Deus! Sometimes a nurse would simply fail to get the attention of a doctor or other healthcare professional. What is the code status/POLST/Intensity of Care on this patient? Patient reports mild pain, morphine administered at 01:00 by ER staff. 0000120029 00000 n WebSBAR Communication Clinical SBAR Scenario # 1 RN Calling MD Regarding Deteriorating Patient Condition: S Mr. Lee is hypotensive, confused and his skin is moist and pale. Making a recommendation can be as simple as saying, Id like you to check on this patient.. ABC-ensure airway 2. can reassure patient that improvment is likely 1. unilateral neglect

0000105305 00000 n Here are three SBAR scenarios to make it easier to use this valuable tool more effectively. > With members and customers in over 130 countries, ASQ brings together the people, ideas and tools that make our world work better. If you're calling a physician, write down on a piece of paper what you're calling about. Recognizing Stroke: BEFAST General signs and symptoms include numbness or weakness of face, arm, or leg (especially on one side of the body); confusion or change in mental status; trouble speaking or understanding speech; visual disturbances; loss of balance, dizziness, difculty walking; or sudden severe headache. 0000141080 00000 n Recovering on an orthopedic care unit after an open reduction internal fixation (ORIF) of the. If youre nervous about making a recommendation, you can simply state that youre concerned about the situation. Teach patient to maintain balance in a sitting position,then to balance while standing (use a tilt table if needed). 7/27/2019 8:26:47 PM, SBAR es una herramienta muy util que nos facilita la comunicacion para una mejor eficacia en el procedimiento, by Sandra Summeril 0000002906 00000 n -important Patient medical history Observation: One of the key steps in SBAR is assessment. -nurse importance, Communication C. Severe vomiting. Make sure to identify yourself, your unit, and give the patients name. 10 0 obj <> endobj Provide emotional support and encouragement to prevent. Get help-call rapid response or stroke code team 3.check pulse Ox maintain oxygenation 4. iv access with normal saline (isotonic) 5. maintain BP using guidelines- not too high, not too low 6. Culture at Work in Aviation and Medicine: National, Organizational and Professional Influences. trailer / Tools / What should Z0Z_{0}Z0 be? Its also important to note that the recommendations may include medical interventions (such as medication recommendations, radiology, or lab draws) but ultimately it is up to the medical provider to place orders for the patient and determine the next steps. Webcommunication between members of the health care team about a patients condition. The first SBAR video is from the Nurse Mendoza show. The key is to go through the thought process so all relevant details are included, and all superfluous details are left out. Relief of sensory and perceptual deprivation. #9S_?xbm]kNV_%7)TIaBW ']ki4~'mU&G~`mqQlj enMFb6Q"kmxy~}Z IEe N3-/gbh;szbv )#zGlJMkPdb8v wBE4#eT2B5%Z\+|}#81>;8z(nf>VA Because of its simplicity and usefulness in crucial situations, SBAR has many implementations in healthcare. endstream endobj 24 0 obj <> endobj 25 0 obj <>stream -implement procedures to prevent, -anticoagulants : aspirin What is the code status/POLST/Intensity of Care on this patient? / SBAR examples are typically used for: Conversations with physical therapists, physicians, and other medical professionals. Examples: Notification that patient has been admitted Patient needs to be seen now Order change . Professional nursing opinion of what is happening. -sudden confusion, trouble speaking or understanding 6. D. Vasospasm. It covers all pertinent information, including Situation, Background, Assessment, and Recommendation. Mastering keen observation skills makes it easier for nurses to gather the necessary 2.