Both the primary nurse for the patient and the Rapid Response Team nurse have responsibility for completing the form when a Rapid Response Team call is initiated. The form then becomes a permanent part of the patient’s medical record. The Rapid Response Team record includes approved protocol orders that may be initiated by the Rapid Response Team nurse.

The SBAR (Situation-Background-Assessment-Recommendation) tool is printed on the back of the form and is used as a guide for the primary nurse when calling the physician to ensure that concise, pertinent information is reported.

Download the tool for complete information.