Sbr Advantages And Disadvantages

I have utilized the SBAR several times this semester during my clinical experience. “SBAR was intended for nurse-physician communication under urgent conditions, but its use is recommended to improve staff communication during shift reports and rounds as well” (Cornell et al., 2014, p. 341). One particular situation that comes to mind in which I used SBAR was when I had a patient that had a Gaslow Coma Scale (GCS) of six during my morning assessment. The patient had been off sedation for over twenty-four hours. I notified the intensivist and gave him the patient’s current situation, the patient’s background of pneumonia that resulted in intubation in the ED, the patient’s current assessment (GCS, lungs, vent settings, and labs) reported, and I recommended neurologic diagnostics to evaluate the brain, and asked the physician to advise on the patient’s plan of care. The …show more content…
According to Porter O-Grady (2016) the importance of an effective multidisciplinary handoff has been identified as important component in achieving the desired outcomes and maintaining continuity of care. One of the disadvantages of the SBAR is the amount of information given and whether or not there are distractors during the handoff. For example, when I later read the physician notes I realized that it said the patient was sedated. When I contacted the physician to clarify, he was aware the patient had been off of the sedation for over twenty-four hours. The physician notes did not reflect this, so I questioned it and wanted to …show more content…
M. (2014). Impact of SBAR on nurse shift reports and staff rounding. MEDSURG Nursing, 23(5), 334-342
Porter-O’grady, T., & Malloch, K., (2016). Leadership in nursing practice: Changing the landscape of healthcare (2nd Ed.). Burlington, MA: Jones & Bartlett