1. Standardizing Handoff

2. Why Should We Standardize
Miscommunications are:
Common
Hazardous
A leading cause of adverse events in hospitals
A contributing cause in 2 out of 3 sentinel events

3. Why not SBAR?
SBAR is a communication tool designed for escalation of care – not designed for handoff
We will continue to use SBAR for escalation

4. Why IPASS? IPASS “I pass” the care to you
Communication tool designed for handoff
Provides a structure to deliver a succinct & efficient report
Used by the Medical Staff at CNHS & shown to improve the quality of their handoffs
Incorporates a “shared mental model” into the report process
“I pass” the care to you

5. Example of the Handoff Tool

6. The Elements of IPASS Introduction/Illness Severity Patient Summary
Who is this?
Name, DOB, MRN, Age, Weight, Allergies
Why are they here?
Diagnosis, Severity,
On Admission – what team they are going to
Patient Summary
Past Medical History
Events Leading to Now
Review of Systems (head to toe assessment summary)
Access/Pain score
Action List
What needs to happen (Plan of care, Labs, Tests, Procedures,
Tasks)
Situational Awareness & Contingency Plan
Family or Social Needs
Language
Clinical Concerns
Discharge Planning
Summation by the Receiver
Receiver summarizes what was heard
Receiver asks questions
Handing off RN verifies information transmitted was accurate

7. Provide a brief summary of the report you heard
What Do We Need To Do
GIVING REPORT
Gather information & ASSESS the patient if you have not already
Organize information into IPASS format
Open the chart
Provide report using IPASS
Ask for the receiver to provide a summary of report
Listen to receiver’s summary & CORRECT any misconceptions
RECEIVING REPORT
Listen to report
Minimize interruptions – ask questions at the end, not in the middle
Provide a brief summary of the report you heard

8. Questions regarding this process
EMTC: Pup Thomas, Paula Moncrief, Gissel Sonnenbrot, Gieshla Moore, & Jessica Cook
7East: Jenn DuVal, Laura Welch
Thank you
To our actors: Paula Moncrief, Gieshla Moore, & Jenn DuVal
To our Producer: Laura Nicholson