Introduction

Identify yourself with your first and last name, role, and location.                                      

Identify the client’s details: name, age, and room number.

Hello, I am calling about Nina Monture, a 17-year-old female client on 3A. I am Gita Cavell, a registered nurse on the unit.

Situation

Briefly describe the concern.

State if the situation is urgent. 

Identify current symptoms and clinical needs.

The client was coughing and vomited during her rehab session.

Background

Provide a brief summary of the concern.              

State diagnosis, comorbidities, and other health issues.                            

State lab values, medications, and allergies. 

The client was tested for influenza and is on droplet contact precautions. Another client was in the rehabilitation room with the suspected infected client and the client was not wearing the required PPE.

Assessment

Provide an interpretation of summary of what you think is going on.

Based on my assessment and the client’s symptoms, it’s probable that the client will test positive for influenza.

Request/Recommendation

State a clear request / recommendation with a time frame.

Follow up with the unit manager about the miscommunication regarding this client situation is required. The unit manager for the other client needs to be informed of the possible exposure to influenza.