The document outlines the ISBAR communication tool, which enhances effective communication among healthcare professionals, especially during patient handoffs and critical situations. ISBAR stands for Identify, Situation, Background, Assessment, and Recommendation, providing a structured format for conveying essential information. An example scenario illustrates how to apply ISBAR in a practical emergency department context.

1. Handing Taking Over
By using ISBAR
PRESENTER : MUHAMMAD HUSSAIN
IN-CHARGE OF MEDICINE WARD
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2. Objective
 Define ISBAR ?
 Understand What ISBAR stand for ?
 Describe the importance of ISBAR?
 Understand Why is an ISBAR important for Health care worker?
 Be Able to Apply ISBAR
 Reference
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3. What is SBAR ?
ISBAR is a communication tool designed to promote effective and efficient
communication among healthcare professionals, particularly during critical
situations such as patient handoffs, transfers, or when escalating concerns about a
patient's condition.
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4. ISBAR Identify.
 I Identify/Introduction
 S Situation - What is happening now?
 B Background What has happened in the past that is relevant?
 A Assessment What is the issue in your opinion?
 R Recommendation - What do you think needs to happen now?
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5. I Identify ?
 who are you and who is your patient?
 I -Identify Yourself by name and position, unit .
 I -Identify your patient : full name & medical record number , Age ,Sex Location
(if different from you)Reference: Joint Commission for Transforming Healthcare.
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6. S situation
what is your current situation ?
State the problem ,concern, and chief complaint.
What is the current situation, concerns, observations.
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7. B background :
What is the relevant background?
S-State the patient reason and date of admission-Significant and relevant medical ,surgical
,family and social history .-List of current medication ,allergies, IV infusion treatment and
procedure as required .-resuscitation status.-isolation .
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8. A assessment:
what is happening with patient ?
-Physical assessment finding system by system.-V/S ,GCS ,Pain .-hemodynamic
reading- current lab .-radiological result including date and time.-Current treatment
and procedure .
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9. R recommendation :
what are the action to be taking?
Explain what you need State request Clarify expectation For any telephone order read back to
ensure accuracy .
Ask questions: Are there any tests required? E.g. CXR, ECG etc. Are there any
medications/fluids required? What change in the treatment plan is required? How often do you
want vital signs? If the patient doesn’t improve when should they be called again?
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10. Why is an SBAR important ?
 It is a way for health care professionals to communicate effectively with one another,
and also allows for important information to be transferred accurately. The format of
SBAR allows for the short, organized and predictable flow of information between
professionals.
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11. Scenario:
 You are a nurse working in a busy hospital emergency department. It's a typical afternoon shift,
and the department is bustling with patients coming in for various reasons. You receive a
handoff report from a paramedic who has just brought in a patient via ambulance. The patient
is a 65-year-old male named Mr. Smith who was found unconscious at home by his family
members. Here's how you could apply the ISBAR communication tool in this scenario.
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12.  Identify:
 You introduce yourself to the paramedic and confirm the patient's identity. "I'm Nurse Jones, and I'll be taking over care for
Mr. Smith. Can you please confirm his full name, date of birth, and any other relevant identifiers?"
 Situation:
 Mr. Smith, a 65-year-old male, was found unconscious at home by his family. He has a history of hypertension and diabetes.
His vital signs on route were stable, and we administered oxygen."
 Background:
 Mr. Smith's medical history, current medications, any recent illnesses, or prior hospitalizations?
 Assessment:
 The paramedic shares their assessment of the patient's condition. "Upon arrival, Mr. Smith was unresponsive with a GCS 11
His pupils were equal and reactive, and he had no focal neurological deficits. We started an IV line and obtained blood
samples for lab work."
 Recommendation:
 Based on the information provided, you formulate a plan of action. "Thank you for the report. I'll perform a rapid assessment
of Mr. Smith, including a focused neurological exam and vital signs check. We'll need to notify the attending physician and
prepare for further diagnostic tests, such as a CT scan and blood glucose monitoring. Please assist with transferring Mr.
Smith to a resuscitation room, and I'll initiate the appropriate interventions
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13. Reference:
 https://chat.openai.com/c/9475ce2e-05f7-4f64-b0de-3b6f0f0a3640
 https://www.slideshare.net/madani20141/isbar-presentation-1-1pptx
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