SBAR REPORT CUE SHEET

Have you got the following?

CHART – ALLERGIES – MEDS – LEGAL STATUS – LABS/RESULTS – WEIGHT

S
SITUATION
 State your name and unit
 “I am calling about ….patient name
 “I am concerned about…..”

B
BACKGROUND/CURRENT STATUS
 State admission diagnosis and date of admission
 State briefly the pertinent medical history/clinical presentation (what prompted you to call?)
 Address any relevant treatment/procedures/changes in care that apply to the immediate issue

Vital Signs: BP ______ Pulse ________ RR ______ Temp ______

Depending on the presenting problem/issue prompting the call you may need to
include some of the following information:
 Neuro/Mental Status/ Pain
 Respiratory Satus: SOB/Wheezes/Cyanosis/O2 requirements etc
 CVS /tachycardia/ECG results
 GI/GU: Nausea/Vomiting/Diarrhea/ Urine output
 Skin: clammy/ diaphoretic/colour
 Wound drainage
 Related Lab Results

A
ASSESSMENT
 State what you think is going on…..
 “I think it might be due to…..”; “I’m wondering if it could be……”

R
RECOMMENDATION/REQUEST
State what you would like to see done (it may be any combination of the following or other):
 Come see patient immediately
 Further tests/labwork/CXR/ECG/serum drug levels, etc
 Medication changes – add/hold/adjust
 Transfer to other service – e.g. Emergency
 Assess legal status/capacity
 Utilize seclusion/restraint
 Clarify resolution including time of arrival or time to call back etc
DOCUMENT THE CHANGE IN CONDITION, PHYSICIAN NOTIFICATION &
ACTIONS TAKEN