<p> Rochester District VNA Tele # 603-332-1133 Fax # 603-332-9223 SBAR report to physician about a patient situation Situation (Briefly state the problem) S PATIENT NAME: PHYSICIAN: DATE: </p><p>Vital signs are: Blood pressure / , Pulse , Respiration ,Temperature , Blood Sugar , Pulse Oximeter , Current O2/L </p><p>Current Situation: SEE ATTACHED HISTORY OF VITALS B Background (Information related to the situation) Pertinent Medical Diagnoses: </p><p>Current Medications: (Medications that may be affecting situation)</p><p>What has been done up to this point: </p><p>Assessment A This is what I think the problem is: R Recommendation I suggest: (Include when clinician will f/u): </p><p>Comments: </p><p>I have just assessed the patient personally: Reporting Clinician: </p><p>CALL OR FAX RDVNA’S INTAKE DEPARTMENT WITH FURTHER PLANS AND ORDERS MD ORDERS: (PLEASE RESPOND WITHIN 24HRS)</p>