VickyRN Asst. Admin Hand-off
is the provision of verbal and/ or written
information from one primary health care provider to another so that pertinent care, treatment, or service needs as well as the patient’s current condition and
any recent or anticipated changes are accurately communicated.
is an acronym for situation, background, assessment
, and recommendation.
Identify the patient and who is involved. Identify the problem/diagnosis, recent changes.
Review of systems, pertinent medical history (allergies, code status, chronic diseases, and disability), safety/ cultural issues, precautions, labs, medications, mobility status, mental status, next of kin, equipment, tubes, drains, medications, IVs
Plan of care, summary of current condition, catheters, drains, lines, tubes, treatments.
Pending tests, suggestions or requests, physicians’ orders, what is to happen, where, when, and how, to-do items, anticipated changes, and outstanding issues.