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