SBAR Template - Healthcare

• Created on

  Date

• Prepared by

• Location
  Address

Situation

• Patient Name

• Age

• Location

• Briefly describe the current situation or problem.

Background

• Provide relevant background information about the patient.

• Primary Problem

• Relevant Medical History

• Current Medications

• Allergies

• Relevant Interventions or Procedures Done Recently

Assessment

• Present your assessment or evaluation of the patient's current condition.

• Vital Signs

• Symptoms

• Relevant Test Results

• Other Pertinent Clinical Information

• Interpretation of Current Clinical Status

Recommendation

• Suggest specific actions or interventions to be taken.

• Recommendations for Further Diagnostic Tests/Advance Plan of Care

• Medication Changes or Adjustments

• Interventions Needed

• Other Notes

• Name and Signature

  Sign