ICU · NURSING HANDOFF · SBAR · MULTI-SIGNER CO-SIGN

SBAR nursing handoff · ICU-02

Lakshmi Narayana Bhat (M, 64) · 22:00 shift change · 14-bed ICU · outgoing nurse → incoming nurse → intensivist witness · DPDP-2023 audit chained

S Situation

Bed, primary diagnosis, key event in last 12 h, current concern requiring incoming-shift attention.

B Background

Pulled from EMR. Read-only here — corrections via chart, not handoff.

A Assessment

Free-text plus vital-range checks. Flag any range you consider deteriorating.

HR deteriorating 110–128 bpm SpO₂ deteriorating 89–92% BP stable 98/56–110/64 RR elevated 28–32/min Temp stable 37.6–37.9 °C UO adequate 0.6 mL/kg/h

R Recommendation

Specific actions, time-bound, with thresholds for escalation.

DEMO SIGNER · no real authentication · KMC format /^KMC-\d{5,6}$/ · audit chain appended on submit

Outgoing nurse · primary author

Sister Anjali R.

Full name KMC registration

format: KMC-XXXXX or KMC-XXXXXX

2026-04-30 · 21:58:14 IST · audit-id CC-IH-202604300217

Incoming nurse · receiving

Sister Meera K.

Full name KMC registration

format: KMC-XXXXX or KMC-XXXXXX

Intensivist · witness

Dr Rajeev N.

Full name KMC registration

format: KMC-XXXXX or KMC-XXXXXX

2 of 3 signers pending · all SBAR sections required · audit hash will be appended on submit

DEMO DATA · NOT PHI