Hemoglobin trend, rebleeding signs and a first walk not yet attempted: for a composite bleeding ulcer, this is NU142 Unit 6's handoff report, set out in SBAR. Searches like "nu 142 unit 6 assignment example", "nu142 unit 6 sample" and "nu142 unit 6 example" land here.
What a finished NU142 Unit 6 handoff report looks like
The report fits on one page and would take about ninety seconds to speak. Situation: a 72-year-old woman, day one after endoscopic clipping of a gastric ulcer, stable but not yet tested upright. Background: black stools for three days and one episode of coffee-ground vomiting before admission, daily ibuprofen for knee arthritis, one unit of packed cells transfused this afternoon. Assessment: hemoglobin 7.8 before the transfusion and 8.6 after, heart rate 88, blood pressure 124 over 70 lying down, no stool since the procedure, a proton pump inhibitor infusion running, and nothing by mouth until the morning review. Recommendation: orthostatic vital signs before she first stands, a repeat hemoglobin at the ordered time, and a call if a black or bloody stool appears, heart rate climbs, or pressure falls.
How a NU142 Unit 6 example is structured
Handoffs in this course are usually assessed against a named format, and the sample uses SBAR with one line of patient identity above it, written as a composite descriptor. Each section is short and ordered. Situation names the problem and the current state in two sentences. Background carries only history that explains today: the ulcer, the ibuprofen and the transfusion, with her knee arthritis appearing only as the reason for the drug. Assessment gives numbers with their direction, the hemoglobin before and after, and names what has not happened yet, such as standing or eating. Recommendation lists actions with times and thresholds and states the conditions for a call. A closing line records pending results and open orders. Below the report, a paragraph of rationale explains why each included item earned its place, which many sections grade alongside the handoff itself.
Numbers with a direction
A single hemoglobin tells the next nurse little. The report gives the value before transfusion and after, so the receiver knows the rise one unit produced and can judge the next result against it.
What has not happened yet
She has not stood up, eaten or passed a stool since the procedure. Each is a test still ahead, and the report names all three because each can reveal bleeding that the resting numbers hide.
The ibuprofen as cause and as teaching
Daily ibuprofen appears in background as the likely cause and returns in recommendation as a flag: no anti-inflammatory drugs until the prescriber decides, and a note that her pain plan for her knees needs revisiting.
Thresholds the receiver can use
The recommendation states what should prompt a call: a black or bloody stool, vomiting blood, a rising heart rate or falling pressure. Stating them in advance spares the next nurse from deciding what counts as worse.
A rationale paragraph under the report
Many prompts ask why the handoff contains what it does. The sample adds a short paragraph defending each inclusion and naming two facts left out, her cataract surgery and a remote appendectomy, with the reason each was dropped.
Where marks go in NU142 Unit 6
The heaviest deduction lands on reports that tell the day as a story, starting at breakfast rather than with her current state; the receiver needs the present before the past. A hemoglobin given without its trend, or without the transfusion beside it, hides the one comparison that matters. Leaving out the ibuprofen removes both the cause and the teaching. Recommendations reading 'continue to monitor' give the next nurse nothing to act on and cost the recommendation criterion in most sections. Handoffs that include every piece of history, remote surgeries and childhood illnesses among them, lose points for selection. Omitting the first-standing risk after blood loss draws a safety comment. Reports missing pending results, or running past the length the prompt sets, account for most of the remaining deductions.
Get a NU142 Unit 6 example written to your instructions
Some Unit 6 handoffs follow SBAR, others I-PASS or a unit's own form. Name the format, forward the case and the rubric, and the report follows that format item for item, rationale paragraph included whenever the prompt calls for it. A first custom sample is free of charge. Turnaround runs 24-48h in most cases.
NU142 Unit 6 questions, answered
Should a written handoff include vital signs in full?
Include the ones that matter to the problem and give their direction. For a bleeding ulcer that means heart rate and blood pressure, lying and standing once available, with the hemoglobin trend beside them. A full set copied from the flowsheet makes the important values harder to find. Graders usually prefer three numbers with context to ten numbers without any.
How long should the written report be?
Short enough to speak in a minute or two, which is often a single page or less. Many prompts set a limit, and exceeding it is a common deduction. Length is controlled by selection: every item should change what the next nurse does or watches for. If a fact changes nothing tonight, it usually belongs in the chart, not the handoff.
Is SBAR required, or can I use another format?
Follow whatever your section names. SBAR is common in coursework, and I-PASS is widely used in hospitals; both work if the content is right. If no format is specified, naming the one used and following it strictly makes the report easier to grade. The sample can be built in any recognized format the prompt allows.