A nurse is giving change-of-shift report using the SBAR technique about a client who has a traumatic brain injury. When reporting information about the client, which of the following should the nurse include in the situation segment of SBAR?

A.While childhood obesity is a health concern, it is not a specific indicator of abuse. Obesity can result from dietary habits, lack of physical activity, or medical conditions.

B.Fear of injections is common in children and is a typical developmental response. Crying during an injection is not an indicator of abuse and is expected behavior for many children.

C.While this finding alone does not confirm abuse, it may indicate an underlying issue in the adolescent's home environment. It requires further exploration through careful, open-ended questioning to assess for potential emotional or physical abuse or neglect.

D.Bruising on the shins of toddlers is common due to normal play and falls during development. The explanation provided by the parents aligns with typical toddler behavior and does not raise immediate concerns for abuse unless the bruises are in unusual locations (e.g., abdomen, back, or thighs).

Explanation:

A. Improve communication among staff members:

This is an important goal related to patient safety as effective communication is crucial for providing safe and coordinated care. Improving communication helps prevent errors and ensures that critical information is shared among healthcare team members.

B. Correctly identify clients prior to administering medications:

This is a key patient safety goal as medication errors can have serious consequences for patients. Ensuring the correct identification of clients before medication administration helps prevent medication errors and enhances patient safety.

C. Increase job satisfaction for staff members:

While job satisfaction is important for staff well-being, it is not directly related to the National Patient Safety Goals. The NPSGs primarily focus on specific actions and protocols aimed at improving patient safety outcomes.

D. Educate clients about health promotion and prevention:

While patient education is valuable, it is not a specific National Patient Safety Goal. The NPSGs are typically focused on systematic changes and protocols within healthcare organizations to enhance patient safety.

E. Prevent catheter-associated urinary tract infections in clients:

This is a relevant National Patient Safety Goal as healthcare-associated infections, including catheter-associated urinary tract infections (CAUTIs), are a significant patient safety concern. Implementing strategies to prevent CAUTIs aligns with the NPSGs' goal of reducing healthcare-associated infections.