NUR 3111P: SBAR Simulation

Reflection
Following the simulation experience, each student will complete the following
reflection exercise.
1. Observe your own SBAR video and complete the following critique.
Components
Yes No
Comments
Identifies self
Identified patient by name, age and room
number
States admission date

Situation
Ye
s
Ye
s

Introduced myself

No

Provides patients diagnosis and/or reason for

Ye
admission
s
Background
Give patients medical history
No
States code status
States allergies
Identifies medical treatments
Identifies key problem, interventions, and
response

No
No
Yes
Yes

Discusses results of significant labs

Yes
Reports abnormal study results and surgical
No
outcomes
Assessment
Give current vital sign results BP, HR, RR,
Yes
Temp, O2 sat
Discusses pain assessment
No
Gives physical assessment findings in a
No
systematic way
Discusses IV site, location, solution, and rate
Yes
Discusses tubes and drains
Yes
Discusses wounds (if applicable)
Yes
Discusses fall risk
Yes
Discusses activity level
No
Reported significant interventions performed
by the nurse

Yes

Room numbers not given for all

patients
Did not give date of admission,
just reason for being there

Did not give PMH, just reason for

visit
Did not mention the code status
Did not mention allergies
Gave reason for admission and
interventions being used like
spirometer
Mentioned interventions like pillow
between the legs and patient being
non compliant
Mentioned BG level for one patient
Did not mention
Only gave abnormal vital signs
Did not give pain assessment
Did assessment but did not mention
findings
Gave location and type
Gave location and type
Gave location and description
Gave for one patient
Gave information on one patient
about slouching in the bed
Discussed interventions like putting
pillow under the leg and taking away
cookies
Did not discuss

Discussed psychosocial patients issues; family

No
support and/or problems
Recommendations
Discusses general patient needs or goals of
Yes
Mentioned patient needs, like
care
consults and interventions
Discusses interdisciplinary involvement
Yes
Mentioned diabetic consult for Mr.
Brown
Listed upcoming tests or labs to be drawn
No
Did not mention

N3111P SBAR Videotape Critique Rubric: 10/7/13

NUR 3111P: SBAR Simulation

Reflection
Describes patients teaching needs and if
addressed
Notes medications that need to be
administered

Yes
No

Mentioned consult with diabetes

management
Gave for one patient, but not others

2. If you were given the opportunity to complete the SBAR video again, what would
you do differently?
I would go more in depth. I only hit the bare minimum of information. I tried to
keep the SBAR video short but I feel I sacrificed vital information to do so. For
example, I should have stated the vital signs instead of only saying the abnormal
findings. I also would have talked to my partner instead of the camera.

3. Observe one of your peers SBAR video. Name two positive things that you noted
that you will remember to in your practice.
Name of student observed: Dailey
1. She included a lot of data in her assessment, like all the vital signs and
the types of drains present on the patient.
2. She discussed her interventions in great detail.
4. When you reflect on the entire simulation experience, what were your strengths?
I feel that my assessment skills were a strength. I managed to get an entire head
to toe assessment done on every patient and assessed every system. I also feel
that my time management skills were a strength. We only had ten minutes to do
the assessment and I managed to complete every assessment.
5. What were your challenges?
I did not do a focused assessment. I did the same head to toe assessment on
every patient instead of focusing on the relevant data. For example, on Lloyd
Bennett I should have started with his surgical incision and blood infusion instead
of starting with his head and working my way down. I should have done a focused
assessment first instead of a head to toe assessment. I also did not notice all the
things that were wrong in the simulation. For example, I did not noticed the blood
had the wrong date on it and that a patient had the wrong name on her wristband.
6. Name three things that you learned.
I learned the proper way to give a SBAR report. Before the simulation, I did not go
into enough depth in my SBAR reports.
I learned to focus on the problem first and then do the head to toe assessment.
Usually I will start at the head and work my way down in my assessments. I
learned to focus on the assessment of the problem first, and then do the head to
toe assessment.
N3111P SBAR Videotape Critique Rubric: 10/7/13

NUR 3111P: SBAR Simulation

Reflection
I learned to notice the environment as well as the patient. In the simulation there
was several things wrong in the environment, like Foley catheter on the ground.
Usually I focus on the patient and not the environment.

References
Bon Secours Memorial College of Nursing. (2007). Bon Secours Nursing Student Report Sheet. Richmond,
VA.
Dunsford, J. (2009). Structured communication: Improving patient safety with SBAR. Nursing for Womens
Health, 13 (5), 385-390.
Pope, B. (2008). Raising the SBAR: How better communication improves patient outcomes. Nursing 2007,
41-43.

N3111P SBAR Videotape Critique Rubric: 10/7/13