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

Anesthesia

Surgery

Nursing

• Airway

o

• MRP & Contact

o

• Patient Identification

• 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

o

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

o

• Special considerations
  i.e. flaps, CSM

• o  Foley Catheter

• o  Surgical/Past Medical history (Spine Status)

• o  Drains-specific location

• o  Medications administered on surgical field

o

• Estimated Blood Loss

• o  Dressings

• o  Eye Glasses, Hearing Aid and Dentures

o

• Code Status

o

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

o

• Munro Skin Risk Score and Interventions

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

• o  Post-op Orders completed for wards

o 

• o  Fluid Management/Blood Products

o 

o 

o

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

o 

o 

o

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

o 

o 

• o  Are you Ok with TOA handover for care

o 

o