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Skill

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?