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."