S (Situation)

Brief Description: Concisely state the current situation or issue. Example: "Patient [PATIENT NAME] in room [ROOM NUMBER] is experiencing chest pain."

B (Background)

Relevant History: Provide pertinent medical history and recent events. Example: "Patient [PATIENT NAME], aged [AGE], has a history of [MEDICAL CONDITIONS] and was admitted [DAYS AGO] days ago for [REASON FOR ADMISSION]."

A (Assessment)

Current Assessment: Document the nurse's observations and assessments. Example: "Patient's vital signs include BP [BLOOD PRESSURE], HR [HEART RATE] bpm, and SpO2 [OXYGEN SATURATION]%. ECG shows sinus tachycardia."

R (Recommendation)

Action/Recommendation: Provide suggested actions or interventions. Example: "Administer nitroglycerin as ordered. Notify physician immediately. Prepare for ECG monitoring."