Free Two Patients SBAR Template

Two Patients SBAR

Name: [YOUR NAME]

Company: [YOUR COMPANY NAME]

Department: [YOUR DEPARTMENT]

Date: [DATE]

Category

Patient 1 Information

Patient 2 Information

Situation

Name: [PATIENT 1 NAME]

Current Situation: [BRIEF DESCRIPTION OF CURRENT SITUATION]

Recent Changes: [DESCRIBE ANY RECENT CHANGES]

Name: [PATIENT 2 NAME]

Current Situation: [BRIEF DESCRIPTION OF CURRENT SITUATION]

Recent Changes: [DESCRIBE ANY RECENT CHANGES]

Background

Medical History: [LIST OUT KEY MEDICAL HISTORY]

Current Medication: [LIST CURRENT MEDICATION]

Medical History: [LIST OUT KEY MEDICAL HISTORY]

Current Medication: [LIST CURRENT MEDICATION]

Assessment

Clinical Findings: [LIST RECENT CLINICAL FINDINGS]

Risks/Concerns: [DESCRIBE ANY POTENTIAL CONCERNS]

Clinical Findings: [LIST RECENT CLINICAL FINDINGS]

Risks/Concerns: [DESCRIBE ANY POTENTIAL CONCERNS]

Recommendation

Immediate Actions: [SPECIFY ANY IMMEDIATE ACTIONS TO BE TAKEN]

Plan: [PROVIDE AN OVERALL PLAN FOR THE SHIFT]

Immediate Actions: [SPECIFY ANY IMMEDIATE ACTIONS TO BE TAKEN]

Plan: [PROVIDE AN OVERALL PLAN FOR THE SHIFT]

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