SBAR and SOAP are both templates or ways to organize a report to another nurse or physician . SBAR is typically used as form of communication to give a verbal or written report. SOAP is typically a template to use when writing a note. A brief description of the problem. Pt’s complaint, problem, or situation. Pt’s history, diagnosis, medication, etc. Assessment finding, lab values, vital signs Medical finding based on your assessment, pain, vital signs, level of consciousness A summary of the diagnosis of the patient Suggested idea, intervention, medication, etc. S: A 29 year old female complains of headache, heart palpitation, and stated “I don’t feel right”. B: Pt has no medical history, no allergies, pt states she has “been under stress due to school” and reports lack of appetite. A: Pt is afebrile, BP of 140/85 usually trends around 120/80, pulse is irregular 92 beats per minutes, respirations 18 breaths per minutes, blood sugar of 60, and skin is cool and clammy. R: Pt is given orange juice and cracker, recheck blood sugar in one hour. Interventions done to help the patient S: Pt complains of not feeling right, a head ache, and heart palpitation. O: Pt is afebrile, blood pressure of 140/85, pulse is irregular 92 beats per minutes, respiration of 18 breaths per minute, blood sugar of 60, skin is cool and clammy. A: Pt is a 29 year old female with no medical history and no allergies pt does not feel right. P: Pt is given orange juice and crackers and blood sugar to be rechecked in one hour.