SBAR presentation
- 1. Using SBAR A Culture of Patient SafetySituation
- 2. Background
- 3. Assessment
- 4. RecommendationThis SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safely, and please retain this footer in the spirit of appropriate recognition.
- 5. Guidelines for Communicating with Physicians Using SBARContact the physician according to physician preferenceWait no longer than 5 minutes between attemptsUse all modalities before you assume the physician is not respondingIn emergent situations, use your health care facility’s emergency protocol (resident service, rapid response team)
- 6. Prior to Calling the PhysicianHave I seen & assessed the patient myself before calling?Has the situation been discussed with resource nurse?Review the chart for appropriate physician to call.Know the admitting diagnosis and date of admission.Read the most recent MD and nurse progress notes.Have available the following when speaking with the MD:-Patient’s chart-List of current medications, allergies, IV fluids, and labs-Most recent vital signs- Code status
- 7. SBAR Process - SituationWhat is the situation you are calling about?Identify self, unit, patient, room number.Briefly state the problemwhat is itwhen it happened or startedhow severe
- 8. SBAR Process - BackgroundThe admitting diagnosis and date of admissionList of current medications, allergies, IV fluids, and labsMost recent vital signsLab results: provide the date and time test was done and results of previous tests for comparisonOther clinical informationCode status
- 9. SBAR Process - AssessmentWhat is the nurse’s assessment of the situation
- 10. SBAR Process - RecommendationWhat is the nurse’s recommendation or what does he/she want?Examples:Notification that patient has been admittedPatient needs to be seen nowOrder changeDocument the change in the patient’s condition and physician notification.
- 11. ExampleSituationBackgroundAssessmentRecommendationThis SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safely, and please retain this footer in the spirit of appropriate recognition.http://picasaweb.google.com/lh/photo/pFBcRy8QaANxrFtmmMb89g