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Calculators
SBAR
SBAR in Nursing: Shift Handoffs and Safe Communication
The SBAR tool is a standardized communication framework in healthcare used to convey patient information clearly and concisely (Situation, Brief History, Assessment, and Recommendation).
Patient Identification
NAME:
ID:
AGE:
MEDICAL RECORD:
DIAGNOSIS:
S
SITUATION (SITUATION)
Reasons for Admission:
B
BACKGROUND
1. Level of consciousness:
Awake
Oriented
Drowsy
Agitated/Disoriented
|
Resp:
Ambient Air
Nasal Cat.
Macro
Venturi
Vital Signs:
Temp:
HR:
BP:
SpO2:
Glucose:
mg/dl
2. Comorbidities:
Unknown
HAS
DM
Smoking
Alcoholism
Asthma/COPD
Kidney Failure
Other:
Allergies:
YES
Unknown
Reaction/Substance:
3. Isolation:
Contact
Reverse
Droplets
Aerosols
|
Cultures:
Hemo
Urine
Date:
Results:
Antibiotic:
Ceftriaxone
Clindamycin
Pip-Tazo
Vancomycin
Meropenem
Metronidazole
Others:
Devices:
AVP:
MSD
MSE
PICC
VJD/VJE
AVC:
VJD
VJE
VSCD
VSCE
Fem.
PORTH-CATH
Shilley
|
SNG/SOG
(Open?
Deb:
)
SVD
(Outlet:
)
Drain:
Dressings:
4. Nutrition/Elimination:
VO
SNE
Fasting
Start:
| Bowel
Movement:
S
N
|
Urine output:
Y
N
24-hour urine output:
A
ASSESSMENT
5. Blood transfusion:
Is it necessary?
S
N
Date:
Blood sample?
Y
N
6. Risks:
Phlebitis
Infection
Bronchial aspiration
Hypoglycemia
Hypothermia
Bleeding
Fall:
Yes
No
Morse:
LPP:
Yes
No
Braden:
Location:
|
Preventive Measures:
VTE
Gastric
R
RECOMMENDATION
7. Preoperative Checklist:
GAB Aut:
S
N
Tests OK:
Y
N
ICU Discharge:
Y
N
Hematology Results:
S
N
Consent:
Y
N
Opinion:
Anesthesiologist
Cardiologist
Social Worker
Physical Therapy
Psychology
Nutrition
|
Discharge from the Ward:
Outpatient Exam:
Pending Exams:
Tests Performed:
NURSE'S NOTES
MORNING:
AFTERNOON:
NIGHT: