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SBAR Nursing Report Template

The document provides a template for communicating patient information using a Situation-Background-Assessment-Recommendation format including sections for patient identification data, medical history, vital signs, treatments, assessments of various body systems, care plan, pending issues and recommendations.

Uploaded by

Bob Hope
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
310 views1 page

SBAR Nursing Report Template

The document provides a template for communicating patient information using a Situation-Background-Assessment-Recommendation format including sections for patient identification data, medical history, vital signs, treatments, assessments of various body systems, care plan, pending issues and recommendations.

Uploaded by

Bob Hope
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

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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