This is the full SBAR report sheet Professor Foxx uses at the bedside. One sheet per patient: code status, isolation, PMH, tests, every body system, lines and drips, labs, drains, meds, and the recommendation. Print it, carry it on your clipboard, and fill it in as you take report. Nurses also call this a nurse report sheet, brain sheet, or SBAR handoff sheet. It is free to download as a PDF or Word file.
Blank SBAR Report Sheet
Printable, 8.5 x 11. Fill it in by hand during report.
⬇ Download PDF Word version
SBAR Report Guide
The same sheet with examples for every section, plus a wound documentation guide.
⬇ Download PDF Word versionWhat is on the sheet
What is happening? When did this happen? Where did this happen? To be treated for (insert primary diagnosis). Plus name, room, age, gender, hospitalist or trauma, and code status (DNI / Full Code / DNR).
B · BACKGROUNDPMH checklist, tests (MRI, X-ray, CT, echo EF, endo, US, cath) with timelines, and admit date.
A · ASSESSMENTIV site and access, IVF and drips, antibiotics, neuro and pain, respiratory and VS trend, cardiovascular and VTE prophylaxis, GI, GU, musculoskeletal, skin, BG monitoring, labs, drains, and medications. The sidebar tracks contact precautions, cultures and swabs needed, and extras like daily weight, strict I&Os, fall risk, 1:1 sitter, and NPO at midnight.
R · RECOMMENDATIONAlways use a reference for your recommendation. Scheduled procedures, consults, and discharge plan.
Example: calling a provider
S: This is the nurse for Mr. Lee in room 12. I'm calling because his blood pressure dropped to 86/50 and he's newly confused.
B: He's 72, two days after a bowel resection, with a history of hypertension. His home lisinopril was restarted this morning. No known allergies. Full code.
A: HR is 118, RR 24, temp 38.6 °C (101.5 °F), SpO2 93% on room air. His abdomen is firm and tender, and urine output was 60 mL over the last 4 hours. I'm worried about sepsis.
R: I'd like you to come see him now. Can I get orders for blood cultures, a lactate, and an IV fluid bolus? I'll hold the lisinopril.
Bedside shift report checklist
- Two client identifiers, code status, and allergies
- Why they are here and what happened this shift
- Vitals and trends, pain, and any changes
- Lines, drains, airways, and IV fluids with rates
- Meds due soon, PRNs given, and labs pending
- Safety: fall risk, isolation, restraints, skin
- The plan, and what to watch for next
Pro tips
- Have the chart, vitals, MAR, and labs in front of you before you call.
- Lead with the most urgent problem.
- Say what you are worried about. "I'm concerned" gets attention.
- Read back every verbal or phone order.
- Document who you called, when, what you reported, and the response.
Practice giving report out loud
In SBAR Shift Master you listen to a voiced report, then build the plan.
Play SBAR Shift MasterFor learning only. Follow your program and facility policy for handoff and communication.