SBAR nursing template

Start with identifying yourself and the patient, then provide a clear, concise statement about the current problem. Focus on what’s happening right now that prompted your communication. Include vital signs or observable symptoms that indicate a concern, and keep this section brief—just enough information to establish the immediate issue requiring attention.

The background section should include relevant patient history that provides context for the current situation. Include admission diagnosis, pertinent medical history, current medications, allergies, recent procedures or tests, and any significant changes since admission. This section gives the receiver enough historical information to understand why the current situation matters without overwhelming them with unnecessary details.

Using an SBAR template creates a standardized communication framework that ensures critical information isn’t omitted during handoffs or urgent situations. This reduces miscommunication errors, improves response times to deteriorating conditions, bridges hierarchical communication barriers, and provides clear documentation of clinical reasoning. Together, these benefits directly enhance patient safety by ensuring timely, appropriate interventions based on complete information.

Avoid vague language, unnecessary medical jargon, and omitting critical data points. Don’t include irrelevant patient history that clouds the current issue. Never skip the assessment section—your clinical judgment is valuable. Don’t make recommendations beyond your scope of practice. Finally, avoid rushing through completion; even in emergencies, taking an extra moment to ensure accuracy and completeness improves communication effectiveness.