SBAR

SBAR Overview

  • SBAR = Situation, Background, Assessment, Recommendation. Sometimes SBAR-R is used for Read-back.
  • Purpose: standardized, concise communication to ensure safe, timely clinical decisions and handoffs.
  • Keep it brief but complete; do not omit essential details.

SBAR Components (core idea)

  • Situation: who you are, who the patient is, where they are, why you’re calling.
  • Background: relevant history, current meds, recent events, baseline status, and events leading to the call.
  • Assessment: what you think is going on now based on observations and available data; include vital signs and notable changes. Do not skip this: you should describe what you see.
  • Recommendation: concrete action you want from the provider (orders, tests, escalation, etc.). If you have no concrete recommendation, state that and what you think needs to be addressed.
  • Read-back: repeat back the provider’s orders to confirm accuracy and close the communication loop.

Situation

  • Identify yourself, patient, location, and reason for the call.
  • Example focus: patient in room 204 with new or ongoing problem (e.g., chest pain).
  • Ensure the chart is ready so the provider can pull up the patient quickly.

Background

  • Include important information related to the issue: past medical history relevant to the current problem, recent medications, current status related to vitals/pain/physical issues, and events leading up to the call.
  • Rationale: background helps the clinician interpret the current problem (e.g., diabetes, infection risk, cognitive issues).
  • Medications belong here to show current regimen and potential interactions; note any new orders or changes.
  • Example data to include: chronic conditions (e.g., type 2 diabetes, arthritis, osteoporosis, cataracts, stress incontinence, mild cognitive impairment), functional status (e.g., 4-point cane), hearing status, intake, and recent symptoms.

Assessment

  • What you think the problem is based on the data gathered.
  • Include objective findings: vital signs, labs if available, physical exam findings, changes from baseline (e.g., confusion, cough, new focal findings).
  • If you’re unsure what the problem is, it’s okay to say so; you should still describe what prompted concern (e.g., new confusion, fever, rhonchi).
  • Example from Mary Smith: new confusion, dry cough, slightly elevated temp (e.g., 99), rhonchi at right base, urine cloudy; baseline vitals/BS/tests are needed to interpret.

Recommendation

  • State the action you want from the provider (e.g., tests, imaging, meds, or a clinical assessment).
  • If you’re unsure, propose possible next steps and ask the provider to decide (e.g., UA, chest X-ray, labs).
  • In nurse-to-provider communication, you can propose recommendations but cannot order; the provider finalizes orders.
  • In downstream handoffs (CA-to-CA), maintain same SBAR structure to ensure continuity.
  • Example: request urinalysis, chest X-ray, and additional labs to evaluate for UTI vs respiratory infection; provider may add orders like urine culture, imaging, and blood work.

Read-back (R)

  • After the provider responds, read back the orders to confirm accuracy.
  • Example read-back: “So you want me to do a UA, chest X-ray, and labs, and to monitor vitals and call back if SBP < 100?”
  • Confirms shared understanding and closes the loop.

Practical SBAR tips

  • Have the chart open and ready; anticipate follow-up questions.
  • Document: why you called, who you spoke with, what was told, and what orders you received.
  • The SBAR note should include enough information for a safe, informed decision, but not every detail of the hospital course.
  • If the situation is time-sensitive, be concise but complete; you can skip nonessential details if necessary while preserving essential data.

SBAR in practice: nurse-to-provider vs CA-to-CA

  • Nurse-to-provider: you can present assessment and a recommended plan; provider confirms or adjusts orders.
  • CA-to-CA: focus on critical information to maintain continuity; still use SBAR to communicate problems and plans.
  • Example shift-to-shift: prior nurse notes confusion and turns in plan; new nurse references past SBAR and confirms current status and next actions.

Mary Smith case (brief walkthrough)

  • Situation: Mrs. Mary Smith, 88 years old, in room 24, new confusion with a cough; poor intake (25% breakfast, 50% lunch, 75% dinner) and limited fluids; medical history includes type 2 diabetes, arthritis, osteoporosis, cataracts, stress incontinence, mild cognitive impairment; uses a 4-point cane; hard of hearing; lethargic but responsive.
  • Background: stable vitals, normal blood sugars, but fever history around 99 since morning; right-base rhonchi; cloudy urine; recent falls under evaluation.
  • Assessment: possible UTI or respiratory infection; vital signs not acutely decompensated; confusion and poor intake are new changes.
  • Recommendation: request urine analysis, chest X-ray, and other labs to confirm infection and evaluate status; provider would order appropriate tests and treatments.
  • Read-back example: nurse confirms the exact orders (UA, chest X-ray, labs) and calls back to ensure the plan is understood.

Quick recap

  • SBAR = Situation, Background, Assessment, Recommendation (with Read-back optional).
  • Use SBAR for handoffs and provider communications; keep it concise, complete, and verifiable.
  • Include essential data in Background, describe current problem in Assessment, and state the concrete actions desired in Recommendation; document and read-back to close the loop.