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SBAR W1 - homework
Med surg (241)
Jersey College Nursing School
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SBAR: Situation-Background-Assessment-Recommendation Student Name _______________________________________ Date _________________________
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 (End of Shift Report)? - Identify self, unit, patient, room number. - Briefly state the problem, what Is it, when it happened or started, and how severe.
A 70 year old male Patient enters the ER after he experienced ischemic
brain attack
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
Mr. Carpenter had ischemic brain attack which wsa confirmed on the CT without
contrst. An intra-arterial thrmbolytic therapy will be done to disolve the clots.
Emergent aniogram will be done. New orders of IV normal saline at 100 mL/hr
with an 18-gauge angiocath. No vital signs given.
A
Assessment: Whal is the nurse's assessment of the
situation? Assess vital signs, incision site, neuro check, and check for pulse.
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
Patient has emergent angiogram. Always check for alleriges before
administering dye. Provide patient education.
Institute for Healthcare Improvement · lhl,org I This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials In the spirit of patient safety, and please retain this footer In the spirit of appropriate recognition
SBAR: Situation-Background-Assessment-Recommendation Student Name ____________________________________________ Date _________________________
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 (End of Shift Report)? - 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: Whal 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
Institute for Healthcare Improvement · lhl,org I This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials In the spirit of patient safety, and please
SBAR W1 - homework
Course: Med surg (241)
University: Jersey College Nursing School
