A nurse, Tina Cole, who is working on a medical-surgical floor calls the doctor and reports; Hi doctor, I am calling about Mr. Abe, he started having chest pain five mins ago. He was eating lunch and started having chest pain. He did receive all his medication this morning including his blood pressure medication. He seems a little sweaty but does not have a fever. He just had surgery yesterday and was supposed to go home tomorrow. I am not sure what is going on. Do you have any orders?
After SBAR training, an appropriate response from the nurse would be:
Situation: Hello Dr. X, my name is Tina Cole, and I am taking care of your patient Mr. Jeremy Abe on 3 SW. He started complaining of chest pain about ten mins ago which he qualifies as 10/10 pain. The pain is constant, is associated with shortness of breath and chest palpitations.
Background: He is 58 male who is now on postoperative day two from a laparoscopic appendectomy. He has been ambulatory since the day of surgery, and his pain has well controlled up to this point.
Assessment: I obtained a 12-lead electrocardiogram (ECG) which is ready for your review. He already received one dose of nitroglycerin which helped alleviate the pain. He is currently on 2L of oxygen. His vitals are BP 105/70, HR 52, T 98.0, RR 26 Oxygen saturation 98%. I am concerned about a pulmonary embolism versus a myocardial infarction.
Recommendation: Can I please have a physician come now to evaluate the patient?
Using the SBAR technique, you can walk the physician through your thinking process and your assessment. Whether your assessment is correct is not critical. What matters is the fact that you can convey your concerns in an organized and efficient manner thereby laying a foundation for the physician’s subsequent evaluation.