SBAR — Calling the Provider
CommunicationThe steps
- BEFORE dialing: assess the patient yourself, get a fresh set of vitals, review recent notes/labs/orders, have the chart and MAR open, know code status and allergies
- S — Situation: 'I'm calling about [name], room [x]. The problem is [one sentence].'
- B — Background: admission reason, relevant history, current relevant meds/treatments
- A — Assessment: your vitals and findings — and your read: 'I'm concerned about...'
- R — Recommendation: ask for what you think is needed: 'I'd like you to come see them / Can we get X?'
- Read back any orders received. Document the call: time, who, what was reported, response
🛡 Never skip
If the response doesn't match the patient's condition, say the sentence out loud: 'I'm not comfortable with this plan — I need you to come evaluate.' Then use your chain of command. That is not insubordination; that is the job No response? Follow the escalation ladder: charge nurse → rapid response → house supervisor
Common mistakes
- Calling without vitals in hand — the first question is always 'what are the vitals?'
- Burying the concern: lead with the problem, not the story
- Not documenting an unanswered page or a 'watch and wait' response
Source: IHI SBAR Toolkit; Lippincott Nursing Procedures, 9th ed.Reference only — verify against your facility's policy.
