Rn To Rn Handoff Tool printable pdf download

Rn To Rn Handoff Tool

RN TO RN HANDOFF TOOL

SITUATION

BACKGROUND

ASSESSMENT

RECOMMENDATIONS

Identifying Information

What patient information relates to what is going on now?

What is the patient’s overall condition?

What is the recommendation for patient care planning?

16. Goals for patient stability Pathophysiology,

1. Name, gender, age,

4. Relevant past history/comorbidities

9. What are your concerns?

room #

5. History of hospital course, tests, procedures

10. What have you done about them?

Psych, Behavioral, Cognitive, Social, Spiritual

2. MD, Diagnosis

6. Medications related to problem/concern

11. Have the interventions been effective?

17. Plan for care include surgery or procedural preparation

3. Code status, Allergies

7. Standards or Precautions: Fall, Seizure, HOH, Lang

12. Priority Nursing Diagnosis

18. Care Coordination PT, OT, Speech, MSW,

Barrier, Isolation, Sitter, Restraints, Aspiration, Skin/Wnd

13. Is the patient

STABLE

UNSTABLE

Respiratory, Neuropsych, Respiratory, Case Management

8. Altered findings: Neuro, CV, Resp, GI/GU, Skin/Wnd,

14. Expected Discharge Date

19. Teaching/Discharge Plan

15. Barriers to Discharge: Pain, Mobility, Skin, Inf, Oth

20. Any other questions or concerns

Lines, Tubes, Fluids, Blood Transf, VS, Pain, Labs, XRay

Name:

M / F Age:

Room:

MD:

Diagnosis:

Code Status:

Allergies:

Name:

M / F Age:

Room:

MD:

Diagnosis:

Code Status:

Allergies:

Name:

M / F Age:

Room:

MD:

Diagnosis:

Code Status:

Allergies:

Name:

M / F Age:

Room:

MD:

Diagnosis:

Code Status:

Allergies:

Name:

M / F Age:

Room:

MD:

Diagnosis:

Code Status:

Allergies:

Rn To Rn Handoff Tool

Related Articles

Related forms

Related Categories