To establish and monitor an effective, structured hand-over process to facilitate both continuity of care and patient safety.
The transition of care of a surgical patient from one Resident / Midlevel provider (?team member?) to another will occur in both written and verbal form (?Sign-out?).
Written sign-out must include relevant medical history and notable hospital events so as to convey a full understanding of a patient?s medical concerns. Unresolved medical issues and important action-items must be highlighted to the accepting team member.
Verbal sign-out must accompany written sign-out. This will allow the opportunity for questions and to further expand upon or clarify the information provided via written sign-out.
Sign-out will occur at every level of the healthcare team; this will ensure a uniform understanding of a patient's care-plan at every level of the responsible team.
Sign-out must occur every time there is a change in the team members responsible for that patient?s care.
When questions or concerns arise regarding a patient?s care plan, those questions should be forwarded to a more senior member of the team, including the Attending Surgeon when appropriate.