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Practice SBAR like the real thing

AI-generated clinical scenarios with instant I-SBARR rubric feedback—so your first real handoff isn't your practice run.

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What AI feedback looks like

Real rubric scores from a real attempt on the scenario below. Every element scored 0–4 with a specific coaching note.

Overall Feedback

Solid structure and you flagged the right concern (post-op bleed). Tighten the Situation to lead with the single most urgent change, and be explicit in Recommendation about what you want the surgeon to do at the bedside.

Section Scores

I — Identification

You identified yourself, role, unit, and patient. Nice. Add the room number in the first breath so they can pull the chart while you talk.

S — Situation

You listed three findings but buried the hypotension. Lead with the one that will make the surgeon walk toward the room: 'BP dropped from 128 to 92 with new tachycardia.'

B — Background

Excellent — post-op day, procedure, pre-op vs current Hgb, and coag status. Exactly what an on-call surgeon needs at 2am.

A — Assessment

You named occult bleed and tied it to the labs and exam. Say the word 'concerned' — it flags urgency without overstating.

R — Recommendation

You asked them to 'come see her' but didn't ask for orders. Be specific: bedside evaluation now, stat CBC + type-and-screen, hold the next anticoagulant, and a fluid bolus while you wait.

R — Readback

You didn't close the loop. After the surgeon gives orders, read them back verbatim — this is the piece that prevents wrong-med and wrong-dose errors.

Focus Area

Recommendation clarity. Your assessment is strong but you're leaving the surgeon to guess what you actually need. Practice ending every handoff with a specific ask + a readback of what they told you.

Safety Flags

  • Hgb dropped from 11.2 to 8.9 in <24hr with new tachycardia — consider active hemorrhage
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med-surg · Intermediate

Mrs. J, 68F, post-op day 1 hip replacement, room 412

Patient: Mrs. J, 68-year-old female
Location: Med-Surg unit, Room 412
Admitted: Post-op day 1, right total hip arthroplasty

Vitals (last 30 min):
- BP 92/58 (baseline 128/76)
- HR 112 (up from 84 this morning)
- RR 22
- SpO2 94% on room air
- Temp 37.9°C

Recent events:
- Complained of increasing right hip pain (7/10) 2 hours ago
- Received acetaminophen 1g IV at that time (last dose)
- Nurse notes right thigh appears more swollen vs left, firm to palpation
- Dressing is dry and intact
- Urine output 20 mL/hr for the past 2 hours (previously 40-50 mL/hr)

Labs from this morning:
- Hgb 8.9 (was 11.2 pre-op)
- Hct 26.8
- INR 1.1
- Platelets 240

PMH: HTN, well-controlled on lisinopril. No known bleeding disorder.
Allergies: NKDA.

You are the RN calling the on-call orthopedic surgeon.

Your I-SBARR Handoff

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I-SBARR rubric feedback

Scored 0–4 on all six elements with a focus-area note and safety flag detection.

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