SBAR Example (Fever)

Example ‘Footprints’ SBAR Assessment (Paeds)

Fever

S

  • 5 y.o M – coryzal symptoms for 3 days
  • Ongoing fever > 39 despite regular paracetamol/ibuprofen
  • Rash over chest and abdomen, lethargic yesterday, low appetite

B

  • PMHx – prev viral induced wheeze
  • Imm – UTD
  • SS – Nil
  • Allergies – NKDA

A

  • Vital signs as charted
  • Mild increase WOB
  • Pink, well perfused, playing appropriately in WR and responding appropriately in triage
  • Last paracetamol @ 1600 (2nd dose today), last ibuprofen @ 1400 (1st dose today), temperature normal

R

  • Escalated for chest assessment
  • Urine sample (pot given)
  • Placed in cubicle

John Smith 123 (your name and documentation number)