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Current date/Time

S
Room Number
Age/ sex
Ethnicity/religion
Provider
Admission dx
Situation
Medical/ social hx

B
Allergies
Code status
Vital signs
Oxygen/ Pain
Recent meds
IV’s
Background Drains/tubes
Wounds/ isolation
Drains/tubes
Wounds/ isolation
Diet
Activities/restrictions
Asses/ Neuro
Cardiac
Respiratory
GI/GU
Integument
Ortho/Mobility
Psychosocial
Labs and diagnostic

A
Assessment
Nurse assessment

Plan of care
Test/ results Orders

R
Recommendations
Pending
Completion
Other

SBAR Report for Communication

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