Postoperative Neuro SBAR Form
Structured handoff for postoperative neurological patients using SBAR (Situation, Background, Assessment, Recommendation).
Patient Initials
*
Date and Time of Handoff
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Surgery/Procedure Performed
*
Current Situation
*
Relevant Neurological Background
Neurological Assessment Findings
*
Rows
Normal
Abnormal
Level of Consciousness
1
2
Pupil Size/Reaction
3
4
Motor Strength
5
6
Speech
7
8
Sensation
9
10
Recommendations / Next Steps
*
Urgent Concerns
Seizure activity
Worsening neurological status
Uncontrolled pain
New focal deficit
Other
Handoff Acknowledged By (Name/Role)
*
Submit Handoff
Should be Empty: