This is a tool to allow observers to give feedback to colleagues on their use of the SBAR model structured communication in patient handover.

SBAR Reporting

aucune étiquette


Patient Handover/ Information Gathering

Assesses the patient using an ABCDE approach

Checks the admitting diagnosis

Has appropriate documentation (e.g. Nursing, medical records, EWS chart, Drug chart, Observation chart, IV fluids, resuscitation status)

Collects the patient's vital signs pre and post treatment and takes relevant notes to the phone

On making the phone call states " This is an SBAR call"

Escalation Handover call - 'S' for Situation

Gives own name, role and ward

Identifies patient for handover

Explains reason for calling and headlines any concerns

Escalation Handover Call - 'B' for Background

Gives admitting diagnosis and date

Provides relevant medical history

Reports any changes in patient condition and gives time frame

Gives a brief summary of treatment to date

Escalation Handover Call - 'A' for Assessment

Says clearly what he/she thinks the problem is

Gives all relevant details of Airway, Breathing, Circulation, Disability, Exposure, EWS (ABCDE )

Escalation Handover Call - 'R' for Recommendation & Review

States clearly the request (e.g. "I need you to come now")

Checks that receiver has understood details of call

Determines timescale for review and records name of receiver

Is assertive. (e.g. if timescale for review is too long asks insists on urgency or for alternative contact)

Asks if something should be done now while waiting for review/help

Overall Rating of Handover

Taking completeness, structure and clarity of English expression this handover was:

Add Comments

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.