Checklist for assessment of handing over practices during change of shift
Name of the observer Area of observation
Time Handing over shift
Handing over started Handing over ended
Total time
Sl no STEPS YES NO NA
1. GENERAL CONSIDERATIONS
A. Handing over is given at patient’s bed side
b. Details entered in HIMS is matching with patient’s physical bed
status
c. handing over is given by the assigned staff
d. handing over is given to assigned staff
2. PREPARATION
A. Arranging charts
b. taking the handing over register
3. I=IDENTIFICATION OF PATIENT
A. Introducing to the patient
b. Identifying the patient name, age and UHID no.
4. S=SITUATION AND STATUS
A. Explaining the patients current clinical status
i. Communicating the level of consciousness
ii. Communicating the vital signs and SPO2 (if needed )
iii. Communicating the intact, output and diet
iv. Communicating the sleep, rest and comfort
v. Communicating the activity
B. Explaining the care requirement for the patient
C. Explaining the new orders and investigations
D. Explaining the medication administration
5. O=Observations made during previous shift
a. Explaining the change in vitals in the previous shift
b. Explaining the problem during the shift
c. Explaining the significant/adverse events & findings
6. B=Background and History
a. Explaining the diagnosis
b. Explaining the date of admission and chief complains
c. Explaining the history of patient
d. Explaining the current problems of the patient
e. Explaining the Physical Examination and Lab findings
f. Explaining the patient’s response to the treatment
7. A=Assessment and Actions
a. Communicating the task to be completed
b. Communicating the pending lab results
8. R=Responsibility and Risk Management
a. Ensures that the incoming nurse has understood an accepted
the tasks
b. Communicating the potential risk and complications (e.g.
fall possibility and DVT)
c. Area (Patient unit, nurses station and drug trolley) is
arranged before living the unit.