SBAR

S Situation
Describe the situation
WHAT IS GOING ON NOW

B Background
Deliver a concise history
WHAT HAS HAPPENED

A Assessment
Use your best Judgment
WHAT DO YOU THINK IS WRONG

R Recommendations What needs to happen?

WHAT WOULD YOU SUGGEST HAPPEN
 SBAR ACTIVITY #1

Mrs. Scammel was admitted to your unit one week ago with a diagnosis of

UTI(urinary tract infection). The client has dementia and is scheduled to be

discharged tomorrow. When you go in her room to make your rounds, Mrs.

Scammel tells you that her vision is blurred and she has pain in her right eye. The

conjunctiva of the eye is red and looks inflamed. You also notice some crusty

drainage on her upper and lower eyelids. You suspect the client may have an

infection in her eye or she may have injured her eye. You want to notify the MD

about the problem before the client is discharged.

R
 SBAR ACTIVITY #1ANSWER

Mrs. Scammel was admitted to your unit one week ago with a diagnosis of

UTI(urinary tract infection). The client has dementia and is scheduled to be

discharged tomorrow. When you go in her room to make your rounds, Mrs.

Scammel tells you that her vision is blurred and she has pain in her right eye. The

conjunctiva of the eye is red and looks inflamed. You also notice some crusty

drainage on her upper and lower eyelids. You suspect the client may have an

infection in her eye or she may have injured her eye. You want to notify the MD

about the problem before the client is discharged.

S-My name is_____. I am calling regarding your patient Laura Scammel Rm 206. She is c/o
blurred vision and pain in her right eye. She is scheduled to be discharged tomorrow.

B-She was admitted to the hospital one week ago for a UTI. She has dementia and is on the
following medications.

A-The conjuctiva of her right eye is red an inflamed and there is some crusty drainage on her
upper and lower eyelids. If able to do a vision test on her give the results-her near and far vision
are blurred. There is no report of any injury by patient or staff.

R-I suspect that Mrs. Scammel may have conjunctivitis or she may have injured her cornea.
Could you please come and see Mrs. Scammel before she is discharged tomorrow. What should
I do to relieve her symptoms until you come?
 SBAR ACTIVITY #2

Mr. Kane is a 45-yr-old male admitted to the hospital one week ago for Bronchitis

and exacerbation of his Asthma. He was transferred to your medical unit 2 days

ago from the ICU. Mr. Kane has Type 2 diabetes and is receiving Albuterol via

nebulizer Q4H and is on Prednisone 5mg po QID. Mr. Kane has an order for

blood glucose monitoring ac and at bedtime. His fingerstick before dinner is 305.

R
 ANSWER

Mr. Kane is a 45-yr-old male admitted to the hospital one week ago for Bronchitis

and exacerbation of his Asthma. He was transferred to your medical unit 2 days

ago from the ICU. Mr. Kane has Type 2 diabetes and is receiving Albuterol via

nebulizer Q4H and is on Prednisone 5mg po QID. Mr. Kane has an order for

blood glucose monitoring ac and at bedtime. His fingerstick before dinner is 305.

WHAT TO DO FIRST?

Before calling MD check previous BSL results, check chart for sliding scale order and check
MAR for other meds and any other pertinent information. Keep information with you when you
make call to look up other info MD may request from chart.

S-Name, Unit, I am calling about your patient Mr. Kane in room 520. His BSL before dinner is
305.

B-Admitted one week ago for bronchitis and asthma exacerbation. He was intubated and in ICU
for 4 days. He was transferred to this unit 2 days ago. He has Type 2 diabetes, on nebulizer
treatments and is receiving. Prednisone 5mg QID; Glucophage 500mg BID and Duricef 500mg
QID. BSL range has been 140 -200 since his hospitalization.

A-BSL 305 before dinner. V/S stable and pulse oximetry is 99%. Offers no complaints at this
time.

R-I am concerned about his BSL and he is due for dinner. Could you give me a V/O for regular
insulin to cover his meal-there is no sliding scale coverage. When do you want me to monitor his
BSL again? Should I call you with the results even it is normal?