Patient Hand-Off Communication (SBAR) Checklist [FREE PDF]

Nurses and physicians use this checklist per Joint Commission National Patient Safety Goal 02.05.01 hand-off communication requirements and SBAR (Situation-Background-Assessment-Recommendation) framework.

  • Industry: Healthcare
  • Frequency: Per Hand-Off
  • Estimated Time: 5-10 minutes
  • Role: RN / Physician
  • Total Items: 8
  • Compliance: Joint Commission NPSG.02.05.01, SBAR Framework

SBAR Communication Elements

Verify all SBAR elements communicated during hand-off.

  • Has the current situation (diagnosis, status, recent changes) been clearly communicated?
  • Has relevant background (history, meds, allergies, code status) been provided?
  • Has the clinician's assessment and anticipated issues been communicated?
  • SBAR content notes

Verification & Safety Items

Verify understanding and safety-critical information.

  • Has the receiving clinician read back critical information for verification?
  • Have pending tests, results, and follow-up actions been clearly communicated?
  • Has the receiving clinician had opportunity to ask questions and clarify?
  • Verification notes

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Why Use This Patient Hand-Off Communication (SBAR) Checklist [FREE PDF]?

This patient hand-off communication (sbar) checklist [free pdf] helps healthcare teams maintain compliance and operational excellence. Designed for rn / physician professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: per hand-off.

Ensures compliance with Joint Commission NPSG.02.05.01, SBAR Framework. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Patient Hand-Off Communication (SBAR) Checklist [FREE PDF] cover?

This checklist covers 8 inspection items across 2 sections: SBAR Communication Elements, Verification & Safety Items. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed per hand-off. Each completion takes approximately 5-10 minutes.

Who should use this Patient Hand-Off Communication (SBAR) Checklist [FREE PDF]?

This checklist is designed for RN / Physician professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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