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7 Cards in this Set

  • Front
  • Back

Documentation

Chronological and sequential manner

ISBAR - how we hand over

I - identification


S - situation


B - background


A - assessment


R - request/result/recommendation

Identification

Identify yourself, name, position, location, and the patient (name, DOB, room no.)

Situation

Why you're calling, what's happened or diagnosis

Background

Tell the story. Include relevant aspects of patients history, examinations, investigations and management

Assessments

What's happening now - vital signs, input/output, treatments, risk

Report/ result/ recommendation

What's the recommendation or plan for this patient.


What do you want other health care workers to do.


What was the outcome