ISBAR ACTIVITY STUDENT WORKSHEET

INTRODUCTION Sam, RN
Emergency Department
Your name, position (RN), unit you are
working on

SITUATION Wanda Steele, female

Age:80
Patient’s name, age, specific reason for the visit Came to the ER after a fall in the grocery store. X-rays have confirmed
a R humeral fracture.

BACKGROUND
Patient’s primary diagnosis, date of
admission, current orders for patient
She has been palced in a triangular sling while she awaits an
orthopedic consult. She has been prescribed Torodol 10 to 15 mg
IM/IV q4 to 6 hours prn as well as Actaminophen 300mg + codine 30
mg 1 to 2 tabs PO q 4 to 6 hours prn. Neuro vascular assessment and
CSMT are to be conducted every hour. She may have a diet as
tolerated.

ASSESSMENT
Current pertinent assessment data using head
to toe approach, pertinent diagnostics, vital
signs
She has been given medication that does not seem to be effective as
she still rates her pain 8/10. Her Neuro vascular and CSMT assessment
shows she has normal colour, cap. Refill is less then 3 seconds, she has
a decreased RoM in her R should, her temp is stable when compared to
the other arm, she has movement in her R fingers, wrist and elbow,
slight swelling in her R shoulder and minimal deformity.

RECOMMENDATION Perhaphs she needs a different pain medication the help manage her
pain.
Any orders or recommendations you may have
for this patient