Handoff Flashcards
1
Q
What does the handoff mnemonic “I-PASS” stand for?
A
I = Illness severity P = Patient summary A = Action list S = Situation awareness and contingency planning S = Synthesis by receiver
2
Q
In I-PASS, what is important w/r/t “I”?
A
I = illness severity
- Is pt “Stable,” a “Watcher,” or “Unstable”
> Watcher = pt at risk for deterioration
3
Q
In I-PASS, what is important w/r/t “P”?
A
P = Patient summary
- Provide summary statement, which includes:
- Reason for admission
- Hospital course
- Assessment + plans (by problem/dx)
4
Q
In I-PASS, what is important w/r/t “A”?
A
A = Action items
- Each item has:
- Timeline
- Level of priority
> Otherwise, state “nothing to do”
5
Q
In I-PASS, what is important w/r/t the first “S”?
A
S = Situation awareness and contingency planning
- Draw awareness to potential problems
> E.g. w/pt, team, environment - Create plan to deal with them, should they arise
> “If ____, then ____”
6
Q
What are the important parts of contingency planning?
A
- Identify concerns
- Articulate what might go wrong
- Define the plan (including what has/hasn’t worked) and identify resources that could assist
7
Q
What phrase should you add to your contingency plan if the pt is stable?
A
“I don’t anticipate anything will go wrong”
or
“no contingencies anticipated”
8
Q
In I-PASS, what is important w/r/t the second “S”?
A
S = Synthesis by receiver
- Receiver briefly restates key action items and contingency plans ONLY
- Time to clarify elements that are unclear
