SBAR Nursing Worksheet
Name: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Department: [YOUR DEPARTMENT]
Date: [DATE]
Section | Details & Example |
|---|
S (Situation) | Brief Description: Summarize the current situation or issue for nursing assessment. Example: "Nursing assessment for patient [PATIENT NAME] in room [ROOM NUMBER]. Patient complaining of abdominal pain." |
B (Background) | Relevant History: Provide essential medical history, recent events, and care plan updates for nursing assessment. Example: "Patient [PATIENT NAME], aged [AGE], has a history of [MEDICAL CONDITIONS]. Recent surgery performed on [DATE]." |
A (Assessment) | Current Assessment: Outline the nurse's observations and assessments. Example: "Patient reports abdominal pain at 7/10 on pain scale. Vital signs stable, no signs of distress noted." |
R (Recommendation) | Action/Recommendation: Provide suggested actions or interventions based on the nursing assessment. Example: "Administer prescribed pain medication. Monitor patient's pain level and response. Notify physician for further evaluation if pain persists." |
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