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Introductions

  • Initiate introductions

Break ice

  • e.g. ‘How was your night?’

Patients

  • How many to handover?
  • Handover each patient separately using SBAR:

Situation (core details)

  • Patient details (name, DOB, hospital number)
  • Patient location
  • Major problem at the moment

Background (admission and history) 

  • Admission details (if inpatient): date, admission reason, treatments
  • Past medical history
  • ± any other relevant aspects of the history

Assessment 

  • Observations
  • Examination findings
  • Investigations received/pending
  • Management so far

Recommendations 

  • Diagnosis/differentials 
  • Management plan and outstanding jobs
  • Situation (core details)
    • Patient details (name, DOB, hospital number)
    • Patient location
    • Major problem at the moment
  • Background (admission and history) 
    • Admission details (if inpatient): date, admission reason, treatments
    • Past medical history
    • ± any other relevant aspects of the history
  • Assessment 
    • Observations
    • Examination findings
    • Investigations received/pending
    • Management so far
  • Recommendations 
    • Diagnosis/differentials 
    • Management plan and outstanding jobs

 

Summarise 

  • Summarise each patient’s details back to your colleague

Closing

  • Thank the doctor handing over

Tips for receiving a handover

  • Try to get all the important details you normally would get from a patient if you had seen them yourself (including exploring symptoms, risk factors and relevant system reviews). Your colleague won’t necessarily remember to hand over all the information without you asking.
  • Don’t just accept their diagnosis
  • Ask if expected management has been done
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