SBAR

Question 1

What technique should we use to accurately facilitate prompt and appropriate communication?

Answer 1

SBAR

Question 2

S stands for Situation. What information should you provide?

Answer 2

(If this is via a call, identify yourself first)

• Provide patient name
• Have you made a patient assessment? Are vital signs normal?
• Explain what the problem/your concern is (Resp rate, BP, Pulse, Blood results, fetal wellbeing, oliguria, sig proteinuria etc…)

Question 3

B stands for Background. What sort of information should you give?

Answer 3

The woman is:

• What is her gravidity? Parity?
• Gestation
• Single or multiple pregnancy
• Previous LSCS? NVB?

Fetal wellbeing:
-Abdo palpation, presentation, 5ths palpable, FH rate, CTG status, fundal height.

Antenatal:

• Antenatal CTG performed before? status?
• Antenatal Risk sheet- anything identified?

Labour:

• Spontaneous onset? IOL?
• IUGR
• Reduced FM’s
• APH
• Diabetes
• Pre-eclampsia
• Membranes- ruptured? intact? ARM? SROM? PROM? Mec liquor?
• Most recent VE and result? (Cervical dilatation)
• Third stage- active/physiological? oxytocic given? retained placenta?

Birth details:

• Date and TOB
• Type of birth
• Perineal trauma?
• EBL
• Syntocinon infusion?
• Uterus atonic, tender, high fundus, abdo/perineal bleeding.

Question 4

A is for Assessment. What information should you give here?

Answer 4

• What you think the problem is? Sepsis, cardiac problems, respiratory problems, haemorrhage, severe pre-eclampsia (PET), HELLP, PE, fetal compromise?
• What assessments have you made?
• If unsure of what the problem is, advise you’re unsure but something needs to be done as the patient is deteriorating
• Detail any treatment currently being given

Question 5

R is for Recommendation. What do you request happens next?

Answer 5

Examples:

• Please come and see this patient immediately
• I think an expediated delivery is necessary
• I think this woman needs transferring to the delivery suite
• I would like advice please
• Are any tests/further observations needed? e.g. scans, bloods etc.

If any changes are made to current care plan, clarify what needs to be done, how often and ask: If any changes/no progress, when should I call you again?

[Document who you reported to and their response]