S - Status
B - Background
A - Assessment
R - Recommendations/plans
Examples:
S - Patient is intubated with a 3.0 @ 7(lip) ventilated in PC-IMV, 15/5 +5 f40
B - 27+2 week 2 month old neonate, apgars were 0,1,1. Last gas was 7.33/44/80/24 with a Lactate of 1.1. We also have tracheal stenosis, PPHN, sp VA-ECMO.
A - CTAB, frequent suction is required and the secretions are white+frothy
R - Ventilation status is going to remain because we're going to OR on Monday and then we're just waiting on weight-gain.
A blog about Respiratory Care by a Respiratory Therapist
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