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
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0, 482 boilerplate words
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