Intensive care unit to operating room handoff tool

Huddle should include anesthesiologist, ICU RN, ICU clinician, and RT (if applicable)

Illness and patient summary

One-liner (active issues and procedure)
Vitals and physical exam, if abnormal
Latest labs, active T&S
Allergies
Precautions (contact, positioning)
NPO status
Code status, consents, HCP

Access and airway

Line types and locations (PIV, A-line, CVC, PICC, etc)
Any restricted use lines? All CVC lumens patent?
Drains and tubes (foley, epidural, spinal, chest, etc)
Tracheostomy/ETT details
Ventilator settings

Bleeding, blood products, and fluid balance

Medications

Vasoactive agents
Sedation/pain medications
High-risk medications (anticoagulants, insulin, intravenous potassium, etc)
Antibiotics
Neurologic agents (antiseizure medications, agents for brain relaxation, etc)

Relevant ICU/OR course

Action list (medications due soon, pending labs, etc)

Contingency recommendations

What has or hasn't worked for this patient
Plan to extubate?
Other concerns?

Receiver read-back

Big-picture summary
Ask remaining questions

ICU: intensive care unit; RN: registered nurse; RT: respiratory therapist; T&S: type and screen testing for blood products; NPO: nil per os (nothing by mouth); HCP: health care proxy; PIV: peripheral intravenous catheter; A-line: intra-arterial catheter; CVC: central venous catheter; PICC: peripherally inserted central catheter; ETT: endotracheal tube; OR: operating room.

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Intensive care unit to operating room handoff tool