Lesson 1, Topic 1
In Progress

SBAR

May 1, 2021

SBAR (Situation, Background, Assessment, and Recommendation) is a method of communication among health care workers and a part of documentation (Kaiser Permanente, 2007). SBAR is considered a safety measure in preventing errors from poor communication during “hand-off” or “handover” interactions, the communication that occurs from one shift to the next or when a nurse phones a health care provider with information about a patient (Adams, 2012). SBAR is recognized by The Joint Commission as one method of meeting National Patient Safety Goals (www.jointcommission.org/standards_information/npsgs.aspx). When SBAR occurs between a nurse and a health care provider over the telephone and an order is received from the health care provider, an additional “R” is added. The additional “R” (SBARR) represents “read back” when the nurse reads back the order for clarification (“SBAR for Students,” 2007). See Box 3-1 for an example of the use of SBARR.

 

Box 3-1 SBARR

S Situation: “Hello, Dr. Reads. This is Nurse Schwenk. I am calling you about Mr. Walter’s predischarge laboratory results.”
B Background: “All his laboratory results are within normal range, except for his serum potassium level. It is 3.1.”
A Assessment: “When I was speaking with him about his home medications, he said he has not been taking his potassium supplement for about 2 weeks. He says he forgot to refill the potassium but has continued taking his Lasix.”
R Recommendation: “Could we give him a new prescription for potassium and include this information on his discharge instructions?”
R Read back: “Let me read that order back to you to make sure I understood you correctly. ‘Prescription for K-tab, 10 mEq, p.o. B.I.D and include on discharge instructions.’ ”