Physician-Sbar-Template.docx

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neelam jamshaid

Health & Medicine

Background
Patient's age: ________________________________________________________________ Gender:_______________________________________
Relevant medical history: ___________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Social or environmental factors impacting the patient's care: __________________________________________________________
_________________________________________________________________________________________________________________________________
Recent changes in the patient's condition or clinical status: ____________________________________________________________
_________________________________________________________________________________________________________________________________
Relevant laboratory or diagnostic test results: ___________________________________________________________________________
_________________________________________________________________________________________________________________________________
Physician SBAR
Situation
I am calling about: _________________________________________________________________________________________(patient’s name)
The problem I am calling about is: _________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Assessment
Patient's current condition: __________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Changes since the last assessment: ______________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Recommendation
Necessary medical interventions: __________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Specific recommendations for the patient's care: ________________________________________________________________________
_________________________________________________________________________________________________________________________________
Anticipated changes in the patient's care: ________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Education or discharge instructions for the patient or family members: _______________________________________________
_________________________________________________________________________________________________________________________________

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