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SBAR: Situation-Background-Assessment-Recommendation Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your

SBAR:Situation-Background-Assessment-Recommendation

Before filling out the template, first save the file on your computer. Then open and use that version of the tool. Otherwise, your changes will not be saved.Template: SBAR

S

Situation:What is the situation you are calling about? Identify self, unit, patient, room number.

Briefly state the problem, what is it, when it happened or started, and how severe.

B

Background:Pertinent background information related to the situation could include the following:

The admitting diagnosis and date of admission List of current medications, allergies, IV fluids, and labs Most recent vital signs

Lab results: provide the date and time test was done and results of previous tests for comparison

Other clinical information

Code status

A

Assessment:What is the nurse's assessment of the situation?

R

Recommendation:What is the nurse's recommendation or what does he/she want? Examples:

Notification that patient has been admitted

Patient needs to be seen now

Order change

Here IS THE PATIENT INFORMATION FRO YOU TO DO THE SBAR

patient name : Stephen Mcgough

age : 76

rehab dx: METABOLIC ENCEPHALOPATHY- PNA-CHF

HISTORY - HOH, CAD. HTN, CHF, LEUKEMIA

DIET : REGULAR - SOFT AND BITE SIZED

ANTI COAGULANT : LEVENOX

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