SBAR Nursing Handoff with De-Identify First
PpromptstudioยทAug 24, 2026
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Turn messy clinical notes into SBAR only after stripping identifiers. Education/practice format, not live clinical advice.
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).