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SBAR

The SBAR Brain Sheet is a structured tool used for organizing patient information including demographics, medical history, and current clinical status. It includes sections for vital signs, medications, lab results, and discharge plans to facilitate communication among healthcare providers. The document emphasizes the importance of staying organized on the nursing floor and provides resources for additional nursing aids.

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roxannepearlraelaxamana
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86 views1 page

SBAR

The SBAR Brain Sheet is a structured tool used for organizing patient information including demographics, medical history, and current clinical status. It includes sections for vital signs, medications, lab results, and discharge plans to facilitate communication among healthcare providers. The document emphasizes the importance of staying organized on the nursing floor and provides resources for additional nursing aids.

Uploaded by

roxannepearlraelaxamana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SBAR BRAINSHEET

Patient name Age allergies Physician


S Room number Admit date Attending
Code status
1 Dx 2 Dx Consultants
Advanced directive on
C/O chart? Pgr/#

History Isolation Core Measures


B Surgery: Surgeon Restraints CHF MI PNA

Anesthesia Anesthesiologist EBL Fall risk Vaccine- PNA Flu

Cardiac: BP/HR/Peripheral pulses/Edema/Heart sounds Pain/sedation


A Current rhythm Pain scale

Daily wt? Location

Meds type and last dose


DVT prophylaxis

Pulmonary: Breath sounds/Secretions/ SpO2/UPAs/PIP/ Vent/bipap etc Accu checks A1C


Spontaneous VT & VE
settings Frequency

Last Results

GI NG/OGT Skin
Diet GI Wounds/Drainage
BS Last BM Prophylaxis
Staples
Drains
GU Foley/void
Location
Output
Ducub photo on admission

IV Date inserted Psych Social

Fluids Gtts

Meds Pending orders

Na Cl Bun gluc mg BNP Coags Hct UA CT

INR W CXR
K Co Cr Ca Phos DDimer Pl Cultures
PTT MRI

Cardiac enz 1 2 3 Next lab Echo


Hgb

DC Plan. Is pt informed of plan 24 hour orders reviewed Shift goals


R

Stay Organized on the Floor with the Nursing Brain Sheet Pack from NRSNG.com. Visit NursingBrainSheets.com to get 35 Nursing Brain Sheets

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