SBAR Communication Framework for Safe Patient Handoff
SBAR Framework: A structured approach to communicate patient information between nurses. This ensures organized, concise, and complete communication during shift changes.
S - Situation: Identify patient and current clinical status
B - Background: Relevant history and context for current condition
A - Assessment: Current clinical findings and interpretation
R - Recommendation: Suggested actions or what you need from the receiving nurse
S - SITUATION
What to include: Patient identification, current problem, and clinical status. Be specific and concise.
B - BACKGROUND
What to include: Relevant medical history, why patient is hospitalized, surgery/procedures, and important context that explains current situation.
A - ASSESSMENT
What to include: Current vital signs, clinical findings, abnormal lab values, and your interpretation of what's happening. This is your professional judgment.
R - RECOMMENDATION
What to include: Specific actions needed, what you're asking the receiving nurse to do or watch for, and any urgent concerns requiring immediate attention.
Additional Information for Handoff
Shift Handoff Checklist
Current vital signs reviewed
Allergies confirmed
Key medications discussed
Pain assessment shared
Abnormal findings noted
Pending orders reviewed
Devices/lines checked
Safety concerns communicated
Questions answered
Handoff Documentation
Handoff Best Practices:
Keep handoff concise (5-10 minutes per patient)
Provide in private location away from other patients
Speak clearly and avoid medical jargon when possible
Allow receiving nurse time to ask questions
Highlight any safety concerns or unusual findings
End by asking "Do you have any questions?" to confirm understanding
Update chart/patient data organizer during handoff
Ensure continuity of care by providing complete, accurate information