Hospitals & Services

ISBAR

The ISBAR communication framework is used to create a structured and standardised communication format between health care workers. It is particularly useful for reporting changes in a patient's status and / or deterioration between health care services or shifts

 The following is a breakdown for each ISBAR element:

Identification

  • Identify the person to whom you are speaking

  • Identify yourself, occupation and where you are calling from

Situation

  • Identify the patient by name, date of birth, age, sex, reason for admission

  • Identify what is going on with the patient (Chest pain, nausea, etc...)

Background

  • Give the patient's presenting complaint

  • Give the patient's relevant past medical history

  • Brief summary of background

Assessment

  • Vital signs: heart rate, respiratory rate, blood pressure, temperature, oxygen saturation, pain scale, level of consciousness

  • List if any vital signs that are outside of parameters; what is your clinical impression

  • Severity of patient, additional concern

Recommendation

  • Explanation of what you require, how urgent and when action needs to be taken

  • Make suggestions of what action is to be taken

  • Clarify what action you expect to be taken

Click the link below to view the ISBAR presentation developed by the CDHB

http://isbar.cdhb.health.nz 

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Page last reviewed: 18 September 2013
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