Reporting
Communicate:
To convey information to one and other.
Reporting using SBAR
• Recommended by RN representatives at
off-load discussions.
• Representation at discussions include:
hospital staff, PRPS Management and
SOCPC Management
Patient Safety and Communication
• Communication breakdowns can cause errors
to be made or serious problems to be missed
• Communicating in a similar manner as other
members of the health care team is important
• Organized methods for reporting patient
information helps to reduce errors
SBAR
S – Situation: Describe the situation in one
sentence
B – Background: State details of the situation that
you have found out
A – Assessment: Tell the other health care team
member what your assessment is and what you
think should be done
R – Recommendation: What method you would
use to solve the problem
Practice
• You are caring for your patient while you
wait for a room. The patient begins to
deteriorate. How could SBAR be used to
communicate your concerns to the triage
nurse?
SBAR
• S: Nurse my patient is having chest pain.
• B: The patient called us for chest pain, we gave
3 doses of NTG prior to arrival at hospital and
the pain resolved. The pain returned 25
minutes ago. We have given an additional 3
doses while waiting and the pain has not
changed.
SBAR
• A: We have done a 12 lead and notice
some ST elevation in leads 2, 3 and aVF.
As PCP’s we are only able to give more
Nitro, once we have given 6 doses our
directive is complete.
• R: Is there any way that our patient could
be off-loaded so they can be further
assessed?
How SBAR works
• Both people have the same knowledge about
the problem and can work together to find a
solution
• The listener gets information from you that
they would need to ask
• Time is saved because you have already
researched options to solve the problem
• Giving a recommendation helps begin a
productive discussion to solve the problem