PACU/ICU Handoffs Enhancing Communication and Continuity of Care

Transport to PACU/ICU Circulator obtains room PACU slot/ ICU room assignment If PACU, circulator provides “rolling call” Upon arrival SBAR utilized for report template If ICU, report called 30” prior to transport and should follow template provided If ICU, at end of procedure and prior to transport (after anesthesia report to nurse) rolling call is given to ICU

Anesthetic/paralysis/airway Pertinent Medical History Medications administered Estimated Blood Loss/UOP/Fluids in PACU NURSE VERIFIES with ANESTHESIA PROVIDER : Pt. Name, Age, Armband Type of Procedure, Site, and Indication(s) Allergies, Current medications Special Precautions Current Condition IV Lines, Infusions Check blood products (Two individuals MUST verify audibly) Critical Lab values Blood products available, stat orders needed Family Status Any further questions? S ituation: B ackground: A ssessment: R ecommendations:

Anesthetic/paralysis/airway/ventilator needed? Pertinent Medical History Medications administered Estimated Blood Loss/UOP/Fluids in ANESTHESIA PROVIDER PROVIDES REPORT TO ICU NURSE 30” PRIOR TO ARRIVAL: Pt. Name, age, height, weight Type of Procedure, Site, and Indication(s) Allergies, Current medications Special Precautions (e.g., isolation) Current Condition IV Lines, Infusions Critical Lab values Blood products available Anticipated arrival? Any further questions? S ituation: B ackground: A ssessment: R ecommendations:

ICU Handoff Report Pathway Surgeon declares ICU Circulator notified Of room assignment ICU charge nurse Notified of admit Anesthesia notified of ICU admit SBAR report called to ICU charge nurse By anesthesia Report supplied To bedside nurse Rolling Call to ICU SurgeonCirculatorCharge Nurse CRNACharge Nurse Bedside Nurse Updated pt. Report to Bedside nurse