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Various procedures, models, and policies have been adopted by health care organizations to
meet the safety goals. One model used for telephone reporting and hand-off communication
is the SBAR (Situation-Background-Assessment-Recommendation) technique for
communication. This technique provides a mechanism to use for framing communication
between members of the health care team about a patient’s condition, especially one that is
critical.
SBAR is a model for effective information transfer by providing a standardized structure for
concise factual communications from nurse to nurse, nurse to physician, or nurse to other
health professionals.
Before calling a physician about a patient problem, assess the patient yourself, read the most
recent physician progress and nursing notes, and have the patient chart available.
S
Situation
• Identify self and unit. State: I am calling about: patient, room number
• Briefly state the problem, what it is, when it happened or started, and
how severe it is.State: I have just assessed the patient and I am
concerned about: identify why you are concerned.
A
Assessment
situation? State what you think the problem is:
• Changes from prior assessments
• Patient condition unstable or worsening