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Question Answered step-by-step ● Frederick Clark is a 54-year old caucasian male who came to the ED following an ATV rollover on his cattle ranch where he had been unconscious for an unknown amount of time before his wife found him. He's been in the ED for the past 13 hours. While there he was stable. Fred removed his neck brace and the physician approved as this was the 10th hour since admission. Admitted for r/o head and spinal cord injury. Ct done in ED showed normal findings. It's 1000.● HR: 85 NSR● R:16● T: 98.9 F oral● SPO2: 98● BP: 138/76● Bowel sounds hypoactive● Pain Level: 9/10● He began complaining of pain in his neck an hour ago. His wife, Emma is at bedside andhas been very anxious about fred. Image transcription textSBAR Template Situation: Name/age: ns BRIEF summary of primary problem: Day of admission/post-op #:Background: Primary problem/diagnosis: RELEVANT past medical history: RELEVANT background data:Assessment: Current vital signs: RELEVANT body system nursing assessment data: RELEVANT l... Show more... Show more Health Science Science Nursing LICENSED VOCATIONAL Share QuestionEmailCopy link Comments (0)
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