Skip to main content

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

The following template was provided by Dr. J Helman - April 17, 2024

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

 

image.png

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