# SBAR Handoff: [patient context]

> Situation-Background-Assessment-Recommendation – the clinical
> handoff structure (IHI / TeamSTEPPS convention). De-identify before
> any export or share. Format only, not medical advice.

| Field | Value |
|-------|-------|
| From | @name, [role/unit] |
| To | @name, [role/unit] |
| Date / time | YYYY-MM-DD HH:MM |
| Patient | [identifier per facility policy] |

## S – Situation

What is happening right now:

- Reason for communication: [the problem, one line]
- Current vital signs: [T, HR, BP, RR, SpO2]
- Severity / trajectory: stable / worsening / critical

## B – Background

Context needed to interpret the situation:

- Admitting diagnosis: [dx]
- Relevant history: [pertinent PMH]
- Recent results: [labs / imaging that matter]
- Current treatment: [meds, infusions, O2]
- Allergies: [list]
- Code status: [full code / DNR / ...]

## A – Assessment

What I think is going on:

- Working assessment: [problem / severity]
- What it could also be: [differential]
- Response to interventions so far: [better / worse / unchanged]

## R – Recommendation / Request

What I need and when:

- **Request**: [review / order / transfer / escalate]
- **Timeframe**: [within N minutes/hours]
- **Contingency**: if [condition], then [action]
- **Repeat-back**: receiver restates key info; confirm accuracy

## Read-back confirmation

| Received by | Read back at | Confirmed |
|-------------|--------------|-----------|
| @name | HH:MM | [ ] |
