S (Situation)

Brief Description: Clearly state the current situation requiring attention in the critical care setting. Example: "Critical care nurse [NURSE NAME] reports that patient [PATIENT NAME] in ICU bed [BED NUMBER] has developed sudden tachycardia and hypotension."

B (Background)

Patient Background: Include pertinent medical history, admission diagnosis, and recent changes. Example: "Patient [PATIENT NAME], aged [AGE], was admitted for [ADMISSION DIAGNOSIS] and has a history of [RELEVANT MEDICAL HISTORY]. Recently underwent [RECENT PROCEDURES OR TREATMENT CHANGES]."

A (Assessment)

Current Assessment: Document current vital signs, physical findings, and patient's response to interventions. Example: "Current vitals are BP [BLOOD PRESSURE], HR [HEART RATE] bpm, temp [TEMPERATURE]°C. Noted [PHYSICAL FINDINGS] and patient is [PATIENT'S RESPONSE TO INTERVENTIONS]."

R (Recommendation)

Action/Recommendation: Suggest immediate and future actions for patient care. Example: "Recommend consulting cardiologist [CARDIOLOGIST NAME] for potential arrhythmia management, initiating [SUGGESTED MEDICATIONS/TREATMENTS], and continuous monitoring for changes in condition."