Hand Off Report

Hand Off Report

Critical Element Criteria

Students must meet criteria of Critical Elements to safely perform the skill based on evidence-based practice.  Score can be pass/fail, letter grade, or point assignment.  Only acceptable score for Critical Elements is 100%

Critical Elements

• Gather SBAR data prior to communication.
• Communicate clearly and concisely using SBAR format.
• Make appropriate recommendations given patient situation.

Procedure

Situation

• Patient Name:
• Room:
• Patient Age: 
• Admit date:
• Code Status:
• Doctor:  (include consultants)
• Diagnosis:
• Allergies:
• Precautions:

Background

• PMH:
• Events leading to this hospitalization:
• Course since hospitalization:

Assessment

• Neurologic                                   
• Skin/Wound
• Cardiac (include VS)        
• Diet
• Respiratory           
• I/O
• GI  
• IV lines and solutions running
• GU-Renal  
• LAB/Diagnostic abnormal findings
• Endocrine (accu-checks) 

Recommendations

• What assessment findings need to be followed up with?
• What labs/diagnostic tests and/or procedures are scheduled for next shift?
• Any new orders for next shift or follow ups?
• Psycho/social/educational/discharge needs?
• Safety issues?

Resources

Institute for Healthcare Improvement

Safer Healthcare