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SBAR Communication with Physicians Guide

The document provides guidelines for nurses to follow when communicating with physicians about patient care using the SBAR method. It outlines the steps nurses should take to contact physicians through various modalities depending on availability and urgency of the situation. The SBAR method structure is then described, including gathering relevant patient information and clearly stating the Situation, Background, Assessment, and Recommendation when speaking to the physician. Nurses are instructed to document any changes in patient condition and physician notification.

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325 views2 pages

SBAR Communication with Physicians Guide

The document provides guidelines for nurses to follow when communicating with physicians about patient care using the SBAR method. It outlines the steps nurses should take to contact physicians through various modalities depending on availability and urgency of the situation. The SBAR method structure is then described, including gathering relevant patient information and clearly stating the Situation, Background, Assessment, and Recommendation when speaking to the physician. Nurses are instructed to document any changes in patient condition and physician notification.

Uploaded by

monabert
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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DRAFT 5/7/03

Guidelines for Communicating with Physicians Using the SBAR Process 1. Use the following modalities according to physician preference, if known. Wait no longer than five minutes between attempts. 1. Direct page (if known) 2. Physicians Call Service 3. During weekdays, the physicians office directly 4. On weekends and after hours during the week, physicians home phone 5. Cell phone Before assuming that the physician you are attempting to reach is not responding, utilize all modalities. For emergent situations, use appropriate resident service as needed to ensure safe patient care. 2. Prior to calling the physician, follow these steps: Have I seen and assessed the patient myself before calling? Has the situation been discussed with resource nurse or preceptor? Review the chart for appropriate physician to call. Know the admitting diagnosis and date of admission. Have I read the most recent MD progress notes and notes from the nurse who worked the shift ahead of me? Have available the following when speaking with the physician: Patients chart List of current medications, allergies, IV fluids, and labs Most recent vital signs Reporting lab results: provide the date and time test was done and results of previous tests for comparison Code status 3. When calling the physician, follow the SBAR process: (S) Situation: What is the situation you are calling about? Identify self, unit, patient, room number. Briefly state the problem, what is it, when it happened or started, and how severe. (B) Background: Pertinent background information related to the situation could include the following: The admitting diagnosis and date of admission List of current medications, allergies, IV fluids, and labs Most recent vital signs Lab results: provide the date and time test was done and results of previous tests for comparison Other clinical information Code status

(A) Assessment: What is the nurses assessment of the situation? (R) Recommendation: What is the nurses recommendation or what does he/she want? Examples: Notification that patient has been admitted Patient needs to be seen now Order change 4. Document the change in the patients condition and physician notification.

Publication No. AZ-8SOW-1B-081706-07. This material was adapted by HSAG, the Medicare Quality Improvement Organization for Arizona, from material created by Quality Insights of Pennsylvania, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy

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