A nurse is using SBAR and tells the primary health care provider that the abdomen is distended and ...

C
For assessment (A) data include significant findings in your head-to-toe physical assessment, recent vital signs, current treatment measures, restrictions, recent laboratory results and diagnos-tics, and pain status. Some institutions use SBAR, an acronym that stands for situation, back-ground, assessment, and recommendation. SBAR standardizes telephone communication of sig-nificant events or changes in a patient's condition. Therefore it is a communication strategy de-signed to improve patient safety. When describing the situation (S), you include the admitting and secondary diagnoses and the problem your patient is having as the current issue. Background (B) information includes pertinent medical history, previous laboratory tests and treatments, psychosocial issues, allergies, and current code status. Provide your recommendation (R), in which you suggest a plan of care and request orders and other needs to be addressed.