SBAR
Brief and pertinent information that relates to the situation.
What is Background?
I understand you are afraid of the voices you hear, but these are hallucinations. Only you and I are in the room.
What is presenting reality?
Meeting and creating rapport and trust through honesty and empathy.
What is Orientation phase?
If it were my mother I'd pull the plug.
I suggest an EKG, labs and IV fluid resuscitation.
What is Recommendation?
What brings you to the clinic today?
What are broad openings?
Separating from the formal therapeutic relationship.
What is the termination phase?
It's really busy today and we are short staffed.
What is a defensive response?
Your subjective and objective findings.
What is Assessment?
You do not wish to have surgery because you are anxious about complications, is that correct?
What is seeking validation?
Mutual problem solving to accomplish therapeutic goals
What is working phase?
Why haven't you had children yet?
What is asking personal questions? (unrelated to care)
The patient is admitted to Dr. Smith's service. She complains of nausea and vomiting x3 days.
What is Situation?
Selecting a single topic or focus the patient has expressed to explore further.
What is focusing?
Planning and starting the preliminary nursing process before the purposeful interaction with the person begins
What is pre-orientation phase?
Well if you followed the prescribed diet you wouldn't have high cholesterol.
What is an aggressive response?
Analysis of the situation and consideration of options.
What is Assessment?
Seeking mutual understanding of what has been said.
What is asking for clarification?
The ability to understand others by interpreting non verbal cues.
What is metacommunication?
Don't worry about your metastatic cancer diagnosis, you'll be fine.
What is false reassurance?