Case studies: ISBAR handover to RMO Joseph Hanna – Chest Pain…
Case studies: ISBAR handover to RMO
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Joseph Hanna – Chest Pain Joseph (57 years old man) presented last week with chest pain which resolved with 600mcg GTN. He was monitored for 8 hours in ED and discharged home on daily 100mg Aspirin. Today Joseph was at work when he collapsed gripping his chest and becoming increasingly breathless. Joseph BIBA to ED at 1130hrs. Paramedics gave 300 mcg GTN with no effect on 8/10 pain. They then gave 5mg IV morphine that reduced pain to 5/10. You are the student nurse in ED and receive handover from the paramedics. On your assessment you found Joseph pale and diaphoretic with c/o nausea. On arrival to ED, Joseph reports 7/10 left sided chest pain radiating to left shoulder and arm. Joseph describes the pain as “like someone is standing on my chest”. You do a set of obs; RR: 20, HR: 80 bpm, BP: 162/90 mmHg, SpO2: 94% on RA, Temp: 36.9 C. You give Joseph 2L O2 via nasal progs and while starting to do 12 lead ECG, ED RMO arrives to review Joseph.
Using ISBAR acronym and the information in this case study, please give handover to RMO.
can you also provide me ISBAR in A-G assesment.
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