SBAR – COMMUNICATION TOOL

Identify:
• Yourself: 
  - Name, position, location
• Receiver: 
  - Name, role, location of person you're talking to

Situation:
• State purpose: "The reason I am calling is..."
• If urgent - SAY SO, make it clear from the start
• May represent a summary of Assessment and Requirement

Background:
• Provide relevant information only:
  - History, examination, test results, management
• If urgent: Include relevant vital signs, current management

Assessment:
• State what you think is going on, your interpretation
• Consider:
  - Airway
  - Breathing
  - Circulation
  - Disability
  - Exposure
• State any interventions e.g. applied oxygen

Requirement:
• State your request or requirement clearly
• Options may include:
  - Urgent review (state time frame)
  - Approval/recommendation for further course of action while awaiting attendance
  - Request for tests e.g. ECG, blood work
  - Opinion on appropriate management
  
  
  
  
  ------
  
  
  Here's the corrected and improved version of the grammar:

Figure 1. The Adapted SBAR Tool
Toronto Rehab
Everything Humanly Possible

S - Describe SITUATION
• My name is ... and I work in ... (your service)
• I need to talk to you about:
  - An urgent safety issue regarding ... (name of client)
  - A quality of care issue regarding ... (name of client)
• I need about ... (minutes) to talk to you. If not now, when can we talk?
• I need you to know about:
  - Changes to a patient's status
  - Changes to treatment plan, procedures, or protocols
  - Environmental/organizational issues related to patient care

B - Provide BACKGROUND
• Are you aware of ... (specific problem)?
• The patient is ... (age) and has a diagnosis of ... (diagnosis) as well as ... (diagnosis)
• He/She was admitted on ... (date) and is scheduled for discharge on ... (date)
• His/Her treatment plans related to this issue to date include ... (treatment)
• He/She is being monitored by ... (specialist) and has appointments for ... (procedures)
• This patient/family/staff is requesting that ... (requests)

A - Provide client ASSESSMENT
• I think the key underlying problem/concern is ... (describe)
• The key changes since the last assessment related to the specific concern are:
  Person Level Changes:
  □ Vital Signs/GI/Cardio-Respiratory
  □ Activity/Participation/Functional Changes
  □ ADL
  □ Neurological
  □ Musculoskeletal/Skin
  □ Transfers
  □ Home/Community Safety
  □ Pain
  □ Medications
  □ Psychosocial/Spiritual
  □ Sleep
  □ Cognitive/Mental Status/Behavioral
  □ Nutrition/Hydration
  Environmental Changes:
  □ Organizational/Unit Protocols/Processes
  □ Discharge Destination
  □ Social/Family Supports

R - Make RECOMMENDATION
Based on this assessment, I request that:
□ We discontinue/continue with ...
□ We prepare for discharge OR extend discharge date
□ You approve recommended changes to treatment plan/goals including ...
□ You reassess the patient's ...
□ The following tests/assessments be completed by ...
□ The patient be transferred out to .../be moved to ...
□ You inform other team members/family/patients about change in plans
□ I recommend that we modify team protocols in the following ways ...

To be clear, we have agreed to... Are you okay with this plan?
I would like to hear back from you by ...
I will be in contact with you about this issue by ...

Source: Toronto Rehabilitation Institute
Identify:
• Yourself:
- Name, position, location
• Receiver:
- Name, role, location of person you're talking to

Situation:
• State purpose: "The reason I am calling is..."
• If urgent - SAY SO, make it clear from the start
• May represent a summary of Assessment and Requirement

Background:
• Provide relevant information only:
- History, examination, test results, management
• If urgent: Include relevant vital signs, current management

Assessment:
• State what you think is going on, your interpretation
• Consider:
- Airway
- Breathing
- Circulation
- Disability
- Exposure
• State any interventions e.g. applied oxygen

Requirement:
• State your request or requirement clearly
• Options may include:
- Urgent review (state time frame)
- Approval/recommendation for further course of action while awaiting attendance
- Request for tests e.g. ECG, blood work
- Opinion on appropriate management




------


Here's the corrected and improved version of the grammar:

Figure 1. The Adapted SBAR Tool
Toronto Rehab
Everything Humanly Possible

S - Describe SITUATION
• My name is ... and I work in ... (your service)
• I need to talk to you about:
- An urgent safety issue regarding ... (name of client)
- A quality of care issue regarding ... (name of client)
• I need about ... (minutes) to talk to you. If not now, when can we talk?
• I need you to know about:
- Changes to a patient's status
- Changes to treatment plan, procedures, or protocols
- Environmental/organizational issues related to patient care

B - Provide BACKGROUND
• Are you aware of ... (specific problem)?
• The patient is ... (age) and has a diagnosis of ... (diagnosis) as well as ... (diagnosis)
• He/She was admitted on ... (date) and is scheduled for discharge on ... (date)
• His/Her treatment plans related to this issue to date include ... (treatment)
• He/She is being monitored by ... (specialist) and has appointments for ... (procedures)
• This patient/family/staff is requesting that ... (requests)

A - Provide client ASSESSMENT
• I think the key underlying problem/concern is ... (describe)
• The key changes since the last assessment related to the specific concern are:
Person Level Changes:
□ Vital Signs/GI/Cardio-Respiratory
□ Activity/Participation/Functional Changes
□ ADL
□ Neurological
□ Musculoskeletal/Skin
□ Transfers
□ Home/Community Safety
□ Pain
□ Medications
□ Psychosocial/Spiritual
□ Sleep
□ Cognitive/Mental Status/Behavioral
□ Nutrition/Hydration
Environmental Changes:
□ Organizational/Unit Protocols/Processes
□ Discharge Destination
□ Social/Family Supports

R - Make RECOMMENDATION
Based on this assessment, I request that:
□ We discontinue/continue with ...
□ We prepare for discharge OR extend discharge date
□ You approve recommended changes to treatment plan/goals including ...
□ You reassess the patient's ...
□ The following tests/assessments be completed by ...
□ The patient be transferred out to .../be moved to ...
□ You inform other team members/family/patients about change in plans
□ I recommend that we modify team protocols in the following ways ...

To be clear, we have agreed to... Are you okay with this plan?
I would like to hear back from you by ...
I will be in contact with you about this issue by ...

Source: Toronto Rehabilitation Institute

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 482 boilerplate words
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