SBAR

[tateloo]

The corporation that I work for requires an SBAR to be completed EVERY time someone is sent out. I understand why they are useful when you need to call a doctor for orders to have someone sent out, but I don't understand why they need completed in other situations. Here is an example:

A physician going over labs from home calls into the facility and says "I've just come across mr. Browns KUB and it appears he has a colonic ileus. He will need sent to the ER immediately for further evaluation..."

Why at this point would an SBAR be required?

[Stella_Blue]

To make sure there is docemtation of a change in status.

[jadelpn, LPN, EMT-B]

SBAR would come into play with you giving report to the ED. The MD gave you an order, and SBAR is a communication tool that is mostly used for report. You know this patient/resident, and the situation, as well as the backround. If you did not, then ask for clarification ("I did not know that Mr. ABD pain went to get an x-ray, could you elaborate so that I can give report to the ED?") But if you know the situation and the backround, the MD was picking it up at the part that requires an action on your part.

To the ED:

"Mr. ABD is a ____yo with a history of______. His medication list will come with him, but of note is that he takes______(note any applicables: opiate pain medication, warfarin, daily asprin....)He came to our facility on ____OR he is a resident of our facility and on this date had a cc of ______. He has been NPO since_____. He has been treated with_____, without effect. His last BM was_____.

Labs ______________were drawn and sent on___________. Of note was that _____came back at _______(abnormal labs).

A KUB and _____(other radiology tests) were also done on _______. MD_________(name) discovered that the patient had an abnormality on his KUB, and we are sending him to you for further work up.

I am sending his medication list, and an information sheet."