Stage | Aim(s) | Time | |
---|---|---|---|
I | Identification | Introduce yourself by stating the role you have played in this patient’s care | Past |
Clearly and accurately identify and locate the patient | |||
Identify the doctors responsible for the patient’s care | |||
S | Situation | Explain the patient’s presenting condition | |
B | Background | Hand over the patient’s medical and social background relevant to this admission | |
A | Assessment | Succinctly describe the patient’s general condition, clinically and behaviourally, during your shift | Present (your shift, outgoing nurse) |
Provide key clinical observations/data | |||
Actions | State what you have done for the patient on your shift | ||
R | Recommendations | Explain the treatment plan for this patient | Future (your colleagues, incoming nurse) |
Explain the care plan and actions required of nursing staff | |||
Readback | Clearly hand over accountability and responsibility for ongoing care tasks |