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SBAR tips and guidelines to help you better give an SBAR report
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SBAR Tips Why SBAR is Important in Nursing Communication:
specific medical history about the patient. Only information related to the patient problem is mentioned. Background information may be collected through seeing, hearing, smelling, and touching. Information related to the problem can also be obtained from tools and equipment the nurse uses. The most common information that is obtained from patients are their vital signs: blood pressure, heart rate, temperature, and respiratory rate. Nurses also ask the patient specific questions, and the responses are shared with the doctors. Example of the background portion of SBAR: 'He came to the hospital two days ago with appendicitis and had his appendix removed in the surgery you performed on him yesterday. I found him lying in the bed groaning with his hand on his abdomen. He states the pain is worse today even after taking the pain medication you already ordered. His temperature is normal and the incision site looks good, but his blood pressure, heart rate, and respiratory rate are very elevated. ' ASSESSMENT: The assessment is when the nurse uses the data gathered during the physical examination and determines what the nurse thinks is going on. Example of the assessment portion of SBAR: 'I think this patient is developing an infection.’ RECOMMENDATION: The recommendation is when the nurse suggests solutions to the problem. This part happens at the end of the conversation with the doctor. Requests for specific tests, medications and treatments are made that might help. The nurse might also be an advocate by asking the doctor for specific things the patient wants and explanations about their condition. Example of the recommendation portion of SBAR: ‘I recommend laboratory investigations, including complete blood count (CBC), C- reactive protein (CRP), and blood cultures to assess for signs of infection. An abdominal x-ray might provide some answers as well. Is there something more we can give him for pain?’ Why SBAR? Support for standardized communication by: