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Internal Medicine Specialist Template

SBAR handover

A professional Internal Medicine Specialist template for healthcare professionals.
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Specialty

Internal Medicine Specialist

Used

202 times

Type

Note

Last edited

27/07/2026

Created by

Samuel Adedero

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About this template

This SBAR handover template is designed for internal medicine specialists to facilitate effective communication during patient handovers. The template includes sections for Situation, Background, Assessment, and Recommendations, ensuring that all critical information is conveyed clearly and concisely. This format is particularly useful for managing complex cases with multiple comorbidities, as it allows for a structured and comprehensive transfer of care. Ideal for use in hospital settings, this template helps streamline the handover process, reducing the risk of miscommunication and improving patient outcomes.

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Patient 1 John Doe, Male, 01/15/1950, Bay: 3, Bed: 12, Hospital number: 123456 Situation: - The patient is currently experiencing shortness of breath and chest pain. He was admitted due to acute myocardial infarction and is now post-angioplasty. Background: - History of hypertension, type 2 diabetes, and previous myocardial infarction. Recent treatments include angioplasty and initiation of dual antiplatelet therapy. Assessment: - Vital signs: BP 140/90 mmHg, HR 85 bpm, SpO2 92% on 2L O2. ECG shows no new ischemic changes. Blood tests reveal elevated troponin levels. Recommendations: - Continue monitoring vital signs and cardiac enzymes. Adjust oxygen therapy as needed. Follow-up with cardiology for further management. Patient 2 Jane Smith, Female, 03/22/1975, Bay: 5, Bed: 8, Hospital number: 654321 Situation: - The patient is experiencing severe abdominal pain and vomiting. She was admitted with suspected acute pancreatitis. Background: - History of gallstones and hyperlipidemia. Recent treatments include IV fluids, pain management, and NPO status. Assessment: - Vital signs: BP 130/85 mmHg, HR 95 bpm, Temp 37.8°C. Abdominal ultrasound shows inflamed pancreas with no gallstones in the bile duct. Elevated serum amylase and lipase levels. Recommendations: - Continue IV fluids and pain management. Monitor for signs of infection or complications. Plan for repeat imaging and possible surgical consultation if symptoms persist.

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Spécialités

  • Médecine générale

  • Médecine spécialisée

  • Paramédical

  • Psychologie et psychiatrie

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  • Centre de confiance

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