A physician expresses anger towards a nurse assisting him in the operating room in front of the patient and other team members because the nurse did not hand him instruments quickly enough.

The nurse later addresses the physician privately using the DESC tool. Which statement represents the “E” component of this tool?

Choice A rationale
The Quality and Safety Education for Nurses (QSEN) project provides a roadmap to transform nursing by integrating six competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
Choice B rationale
The Institute of Medicine (IOM) is a non-profit organization that provides unbiased and authoritative advice to decision makers and the public. While the IOM has made significant contributions to health care, it does not specifically develop safety competencies for nurses.
Choice C rationale
The Centers for Disease Control (CDC) is a national public health institute in the United States. It conducts and supports health promotion, prevention and preparedness activities in the United States, with the goal of improving overall public health.
Choice D rationale
The Health Insurance Portability and Accountability Act (HIPAA) is legislation that provides data privacy and security provisions for safeguarding medical information. While HIPAA contributes to the safety and privacy of patient information, it does not develop safety competencies for nurses.

Choice A rationale
This choice provides information about the patient’s condition, which corresponds to the “Situation” in SBAR123.
Choice B rationale
This choice provides background information about the patient’s medical history, which corresponds to the “Background” in SBAR123.
Choice C rationale
This choice is asking for an order for additional pain medication, which corresponds to the “Recommendation” in SBAR123. In the SBAR communication model, the “Recommendation” is where the nurse would suggest a course of action or ask for an order.
Choice D rationale
This choice provides an assessment of the patient’s pain level, which corresponds to the “Assessment” in SBAR123. In the SBAR model, the “Assessment” is where the nurse would share their analysis or what they think about the situation.