NUR 324 W5 SBAR

Question 1

What does each letter in SBAR stand for?

Answer 1

Situation
Background
Assessment
Recommendation

Question 2

What is SBAR?

Answer 2

-A structured communication technique used clinically and is designed to convey great deal of information in a succinct and brief manner.
-Every SBAR may be different, but same technique/ process of delivery is the same

Question 3

What should not be included in SBAR?

Answer 3

Things that do not directly influence the high priority problem
Ex. If a pt has fallen don’t include that they had 2 BMs this morning

Question 4

What are the 2 types of SBAR?

Answer 4

1. Problem-oriented: When you identify a problem/concern that is worth dialoguing with HCP. Can be over phone or during interdisciplinary rounds
2. Patient-focused: When giving bedside report to night shift or to transferring unit

Question 5

What are the 5 steps of SBAR before calling the HCP?

Answer 5

1. Identify the problem and why you feel it warrants a call to the HCP
2. Identify focused assessment
3. Know Medical history that pertains to the problem
4. Look for trend in data in chart
5. Include critical cues to help “tell the story”

Question 6

In step 2 what is example of focused assessment on pt who has fallen?

Answer 6

-Level of consciousness?
-Are they breathing okay?
-Open or closed fracture?
-Swollen?
-Pain level?

Question 7

What are things to look at in step 3 medical history on pt who has fallen?

Answer 7

-Arthritis?
-Brittle bone disease?
-Previous ankle fracture
-Age?
-Osteoprosis?
-Meds (home/hospital)

Question 8

What are things to look at in step 5 critical cues?

Answer 8

-Admission reason
-Allergies
-Meds
-Labs & diagnostic
-Physical assessment

Question 9

What goes in Situation?

Answer 9

-Your name
-Unit
-Pt name and room number
-Reason of admission
-Reason you called: main problem/ symptoms

Be specific and brief

Question 10

Example of Situation section

Answer 10

“Hello HCP, This is Kassi. I am a nursing student from 5 north. I am calling about Joe Brown in room 531. As you might recall he was admitted 2 days ago for a total knee replacement. I am calling you now because I am concerned that he is complaining of sudden SOA and severe chest pain while lying in bed”

Question 11

What goes in the Background section?

Answer 11

Sync critical cues
-Lab values
-Focused assessment
-Admission History
-H&P
-Medical history (if relevant)

30-60 seconds

Question 12

Example of Background section

Answer 12

“Also, Mr. Browns lips are cyanotic and his current oxygen saturation level is 88% on RA where is has been 93%. His HR has become tachy in the 110s and his RR is labored with a rate of 24bpm. He has in normal sinus rhythm with no cardiac history that I am aware of at the time of admission.”

Question 13

What goes in assessment section?

Answer 13

-What you think is going on.
-Think critically
-Its okay not to know

Question 14

Example of assessment section

Answer 14

“I am concerned that Mr. Brown may have a pulmonary embolus”

Question 15

What goes in the recommendation section?

Answer 15

-What you want done (one solution)
-Include timeframe
-More dialogue can happen here

-Be sure at the end of the conversation things are specific and you known exactly what the expectations are for you and the HCP

-Know what you expect to hear

Question 16

Example of Recommendation section

Answer 16

“I’d like to start Mr.Brown on supplemental oxygen by face mask. Do you agree? Also, would you like me to order an immediate chest x-ray or CT scan?”
“Do you want me to page you once the scan is completed?”
“When will you be by to see the patient?”

Question 17

The entire SBAR should be no more that ____

Answer 17

2 minutes long