You will be using the following outline to communicate with other providers regarding your patient. For the purpose of this clinical you will be practicing by giving one of your clinical colleague’s report during post-conference. You may also use this if you need to call the resident during your clinical day.
Please cut and paste the following link into your browser. This is an article that fully explains the SBAR process.
http://people.ku.edu/~jomcderm/portfolio/courses/course_1/assign_5/assign_5_files/isbarr_16.pdf
1. If contacting the provider, use the following modalities according to provider preference, if known. Wait no longer than five minutes between attempts.
• Direct page (if known)
• Physician’s Call Service
• During weekdays, the physician’s office directly
• On weekends and after hours during the week, physician’s home phone
• Cell phone
Before assuming that the provider 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.
For the purpose of post-conference report, you will skip step #1.
2. Prior to calling the provider, follow these steps:
• Read the most recent MD progress notes and notes from the nurse who
worked the prior shift.
• Have available the following when speaking with the physician:
o Patient’s chart
o List of current medications, allergies, IV fluids, and labs
o Most recent vital signs
• When reporting lab results: provide the date and time test was done and results of
previous tests for comparison
• Code status, if applicable
3. When calling the provider, follow the I-SBAR-R process:
(I) Identify: Identify self, unit, patient, room number.
(S) Situation: What is the situation you are calling about?
• 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
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