Sunnybrook OR to PACU Transfer of Accountability (TOA) / Handover Checklist
The following template was provided by Dr. J Helman - April 17, 2024
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Anesthesia |
Surgery |
Nursing |
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o Airway |
o MRP & Contact |
o Patient Identification |
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o Hemodynamic Status /Orders for BP Parameters |
o OR Procedure Completed with written OR note included |
o Allergy/ID Band |
|
o Anesthetic/nerve Block used |
o History relevant to surg. Procedure/Initial Diagnosis |
o IPAC status/Special Precautions |
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o Significant events Intra-op/ |
o Special considerations |
o Foley Catheter |
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o Surgical/Past Medical history (Spine Status) |
o Drains-specific location |
o Medications administered on surgical field |
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o Estimated Blood Loss |
o Dressings |
o Eye Glasses, Hearing Aid and Dentures |
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o Code Status |
o Specifying what orders needs to be completed while patient in PACU |
o Munro Skin Risk Score and Interventions |
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o Check all infusions via pump & Independent Double Check (IDC) completed |
o Post-op Orders completed for wards |
o |
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o Fluid Management/Blood Products |
o |
o |
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o Post-op Orders reviewed/Pain meds given/APS orders |
o |
o |
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o Patients destination after recovery completed/Level of Care if changed from original booking, if Patient flow notified & Medical Services/ICU Consulted |
o |
o |
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o Are you Ok with TOA handover for care |
o |
o |