Internal – SBAR Handoff for office messages and communication

Patient: [comment memo="i.e. Name/Initials/DOB/PRN"] [text]
Situation: [comment color=yellow memo="
e.g Problem to be solved, symptom, concern, issue, request, demand, complaint, etc. "]
[textarea cols=45 rows=3 name="situation"]
Background: [comment memo="
The basic, relevant background details of the current situation 'patient was last seen on (date) and is scheduled to come back on (date). Has type II diabetes and last a1c was 10. etc.'"]
[textarea cols=45 rows=3 name="background"]
Assessment and Action: [comment memo="
What is your assessment/impression of the situation and what have you done so far?"]
[textarea cols=45 rows=3 name="assessment"]
Recommendation/Response/Rationale:[comment memo="
Possible content: What do you want done/recommend? What needs to be followed up on or monitored? What is the plan if this-or-that is true or false?"]
[textarea cols=45 rows=3 name="recommendation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
[link url="https://www.ncbi.nlm.nih.gov/pubmed/16617948" memo="#1"] Reference: SBAR: a shared mental model for improving communication between clinicians.Haig KM, Sutton S, Whittington J. Jt Comm J Qual Patient Saf. 2006 Mar;32(3):167-75.[/conditional]
Patient: i.e. Name/Initials/DOB/PRN
Situation:
e.g Problem to be solved, symptom, concern, issue, request, demand, complaint, etc.


Background:
The basic, relevant background details of the current situation 'patient was last seen on (date) and is scheduled to come back on (date). Has type II diabetes and last a1c was 10. etc.'


Assessment and Action:
What is your assessment/impression of the situation and what have you done so far?


Recommendation/Response/Rationale:
Possible content: What do you want done/recommend? What needs to be followed up on or monitored? What is the plan if this-or-that is true or false?


display/hide references

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.17, 13 form elements, 9 boilerplate words, 1 text boxes, 4 text areas, 1 checkboxes, 1 links, 5 comments, 1 conditionals, 6 total clicks
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