S (Situation)

Brief Description:
"I, [YOUR NAME], am reporting on patient [PATIENT NAME] in room [ROOM NUMBER], who is now in active labor, showing signs of distress."

B (Background)

Patient Background:
"Patient [PATIENT NAME], G2P1, at 39 weeks gestation, with a history of a previous C-section. No known allergies. The current pregnancy has been uncomplicated until now."

A (Assessment)

Current Assessment:
"On assessment, [PATIENT NAME]'s contractions are 3 minutes apart, lasting 45 seconds. Fetal heart rate has shown occasional decelerations to 110 bpm. Administered IV fluids and placed the patient in a left lateral position."

R (Recommendation)

Action/Recommendation:
"Recommend continuous fetal monitoring and consider notifying the on-call obstetrician, [OBSTETRICIAN NAME], for review due to the fetal heart rate decelerations. Prepare for possible urgent intervention if the patient's or fetus's condition does not improve."