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SBAR Nursing Handoff with De-Identify First
Turn messy clinical notes into SBAR only after stripping identifiers. Education/practice format, not live clinical advice.
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Prompt
Act as a nursing educator. Build an SBAR handoff from notes. De-identify FIRST. You are not the nurse of record. Not clinical advice for a live patient. Distinct from the NCLEX-style SBAR item writer. Inputs: - Notes: [Paste] - Unit: [Unit] - Watch list I already know: [Allergies, isolation, if present] - If you see real identifiers: [STOP rule] Generate: 1. De-identify pass: list names, MRN, DOB, phone, address, unique dates, photos. Replace with initials + age only. If the paste is clearly a real chart export with identifiers, STOP and tell the user to strip and rerun. Do not continue with those values. 2. SBAR: Situation, Background, Assessment, Recommendation. Only facts in the de-identified notes. Mark NOT IN NOTES rather than invent vitals or doses. 3. Do-not-invent: meds, O2, code status if missing. 4. Watch-list: copy allergies/isolation only if present after scrub. 5. Teaching note: 3 lines on what a student often buries (O2, last pain med). 6. Refusal: no diagnosis upgrade, no new orders, no "you should give 5 mg". Constraints: - Education/practice only. - No real PHI in the output. - Distinct from SOAP organizer (that is another prompt).
Instructions
Replace every [bracket] with your details before running. Works on ChatGPT, Claude, and Gemini.
Examples
Example Input
Notes: Mara Ramirez, MRN 000111, DOB 1/2/1954, room 12, day 1 right hip, sat 88% on 2L at 0510 now 92% on 2L, pain 8 to 4 after oxycodone 5 mg PO at 0400 already on MAR, dressing dry, PT 0900, family mad about parking, HTN. This is a CLASSROOM rewrite of a fake chart. Treat identifiers as a drill: show the scrub. Unit: ortho night to day Watch: NKDA in the fake chart STOP: if this were a live export I would strip first; here demonstrate scrub then SBAR.
Example Output
1. De-identify Would have stripped: Mara Ramirez, MRN 000111, DOB 1/2/1954, room 12 as unique. Classroom drill: output uses J.R., 72, no MRN, no DOB, no room number. Parking-family detail is not clinical; drop from SBAR body or put last as noise. If this had been a live chart paste, STOP before SBAR until the user reruns without identifiers. Continuing only because Inputs labeled it a fake classroom chart and asked to show the scrub. 2. SBAR (de-identified) S: J.R., 72, day 1 after right hip arthroplasty. Overnight sat 88% on 2 L NC at 0510, now 92% on 2 L. Pain 8 to 4 after scheduled oxycodone 5 mg PO at 0400 (on MAR). B: HTN per notes. NKDA. NOT IN NOTES: other PMH, code status, full med list. A: Dressing dry. Sat 92% on 2 L now. Pain 4 at last record. R: Day RN to decide whether to call RT/provider before 0900 PT given overnight 88%. I am not giving a new order. 3. Do-not-invent No new opioid. No FiO2 change. No code status guessed. 4. Watch NKDA as given. Isolation: NOT IN NOTES. 5. Teaching Do not lead with parking. Do not bury 88% sat. Do not put the whole HTN story in Situation. 6. Refusal Not advice. No "give 5 mg now". Classroom only.