PS53 2013: Handover

 

List:

·         Indications for handover

·         Intra-op handover

·         Post-op handover

 

Indications for handover:

Any anaesthetic

·      General

·      Sedation

·      Neuraxial

·      Major regional

Any change of hands

·      End of case

·      Babysitting

·      Handballing

 

Intra-op handover:

Pre-requisites

·      Patient stable

·      Recipient up to the task

·      If babysitter: promises not to meddle

Patient

·      HOPC

·      PMHx

Anaesthetic

·      Mode

·      Airway

·      Access

·      Drug and fluid

Surgery

·      Progress

·      Implications

Problems

·      To date

·      Anticipated

Checks

·      Anaes machine

·      Equipment e.g. pumps

·      Monitoring

Communicate

·      Notify surgeon

·      Document if permanent handover

 

Post-op handover:

Location

·      PACU (anaesthetist still responsible)

·      HDU/ICU (responsibility handballed)

Pre-requisites

·      Patient stable

·      Recipient satisfied

·      (Oxygen +/- monitoring en route)

Patient

·      As above

Anaesthetic

·      As above, including any residual block

Surgery

·      As above

Instructions

·      ABC

·      Other observations: neuro, vascular

·      Analgesics and anti-emetics

·      Fluids and infusions

Discharge planning

·      Destination

·      Specific instructions to patient, carer, nurse

·      Any change to standard discharge criteria

·      Any change to standard reportable vital signs

 

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