SBAR Nurse to Doctor
Name: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Department: [YOUR DEPARTMENT]
Date: [DATE]
Section | Details & Example |
|---|
S (Situation) | Brief Description: Clearly articulate the immediate situation or concern.
Example: Nurse [NURSE NAME] reports to Dr. [DOCTOR NAME] that patient [PATIENT NAME] in room [ROOM NUMBER] is showing signs of severe dehydration. |
B (Background) | Patient Background: Summarize relevant patient history, including current conditions and treatments.
Example: Patient [PATIENT NAME], aged [AGE], was admitted with [ADMISSION DIAGNOSIS] and has a history of [RELEVANT MEDICAL HISTORY]. Patient has been on [MEDICATIONS/TREATMENTS] since admission. |
A (Assessment) | Current Assessment: Detail the nurse's observations and any preliminary assessments.
Example: Patient's current vitals are BP [BLOOD PRESSURE], HR [HEART RATE] bpm, temp [TEMPERATURE]°C. Noted signs of dehydration include [SIGNS OF DEHYDRATION]. |
R (Recommendation) | Action/Recommendation: Propose next steps for patient care.
Example: Suggest administering IV fluids and reassessing hydration status. Would you agree to start [IV FLUID TYPE] at [RATE]? |
SBAR Templates @ Template.net
