Free SBAR Report Form

Enhance patient safety with the SBAR Report Form Template available on Template.net! Specifically designed for healthcare settings, this form is editable and allows you to record patient details with clarity. It’s also fully customizable to fit various hospital protocols. The integrated AI Editor Tool provides a fast, efficient way to update the form, ensuring smooth communication between medical staff!

Vital Sign	Patient Value	Notes
Blood Pressure	mmHg
Heart Rate	bpm
Respiratory Rate	breaths/min
Temperature	°C

Free SBAR Report Form

General Information

Staff Name

Position/Title

Report Date and Time

Patient Information

Name

Date of Birth

Gender

Room/Bed number

Situation

What is the immediate concern with the patient?

When did the issue start or get noticed?

Background

Primary diagnosis

Other significant medical conditions

Current medications (relevant to the situation)

Has the patient experienced this issue before?

If yes, what actions were previously taken?

Assessment

Is there an immediate risk to the patient’s safety or well-being?

What is your overall assessment of the patient’s current condition?

Recommendation

What is your recommendation for addressing the issue?

Is a follow-up required?

Is yes, when?

Additional Information

Signature

Thank you for filling out the form!

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