Sunnybrook OR to PACU Transfer of Accountability (TOA) / Handover Checklist

Anesthesia

Surgery

Nursing

• Airway

• MRP & Contact

• Patient Identification

• Hemodynamic Status /Orders for BP Parameters

• OR Procedure Completed with written OR note included

• Allergy/ID Band

• Anesthetic/nerve Block used

• History relevant to surg. Procedure/Initial Diagnosis

• IPAC status/Special Precautions

• Significant events Intra-op/
  Treatment(s) provided

• Special considerations
  i.e. flaps, CSM

• Foley Catheter

• Surgical/Past Medical history (Spine Status)

• Drains-specific location

• Medications administered on surgical field

• Estimated Blood Loss

• Dressings

• Eye Glasses, Hearing Aid and Dentures

• Code Status

• Specifying what orders needs to be completed while patient in PACU

• Munro Skin Risk Score and Interventions

• Check all infusions via pump & Independent Double Check (IDC) completed

• Post-op Orders completed for wards

• Fluid Management/Blood Products

• Post-op Orders reviewed/Pain meds given/APS orders

• Patients destination after recovery completed/Level of Care if changed from original booking, if Patient flow notified & Medical Services/ICU Consulted

• Are you Ok with TOA handover for care