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Policies,Clinical,UWHC Clinical,Department Specific,Pharmacy,Decentral

Inpatient Hand Off Communications (3.20)

Inpatient Hand Off Communications (3.20) - Policies, Clinical, UWHC Clinical, Department Specific, Pharmacy, Decentral

3.20

POLICY & PROCEDURE





Effective Date:

September 2002
⌧Pharmacy Policy Manual
Chapter: Decentral
Operations Procedure Manual
Chapter:

Policy #: 3.20

Original
⌧ Revision
11/2013
Page 1
of 2
Title: Inpatient Hand-off Communications



I. PURPOSE:
To standardize inpatient hand-off communication to ensure the continuity and safety of patient
care.

II. POLICY:
The Department of Pharmacy will use a standardized approach to hand-off communication
(SBAR). Pharmacy staff will be educated and knowledgeable about the hand-off communication
process to ensure appropriate information is transferred to the next pharmacist in a consistent
manner. The information in the hand-off will include the current condition of the patient, recent
changes in condition or treatment, anticipated changes in condition or treatment, and what to
watch for in the next interval of care.

III. PROCEDURE:
A. Goal
1. To provide consistent, accurate, timely, and unambiguous handoff communication
between pharmacists including the opportunity to ask and respond to questions. This
standardized approach to hand-off communication needs to occur at shift change or
when a patient transfers to a different unit.
2. SBAR (situation, background, assessment, and recommendation) is the framework
that the Department of Pharmacy will use for handoff communications.
B. Process
1. At the shift change from AM to PM, this handoff will be a verbal report
supplemented with written information found in the patient’s electronic medical
record within the Pharmacist Monitoring notes and information found either on
the sign-out report or any daily intervention form used on that unit.
2. At the shift change from PM to overnight and overnight to AM, this handoff will
be written information found in the patient’s electronic medical record within the
Pharmacist Monitoring notes and information found either on the sign-out report
or any daily intervention form used on that unit, with verbal report included as
deemed necessary. Any necessary information not verbally communicated should
be included within the Pharmacist Monitoring notes.
3. For patient transfers within the hospital, the transferring pharmacist will update
the Pharmacist Monitoring notes for the next pharmacist. A verbal report may
occur between the transferring pharmacists if any significant medication therapy
issues exist that warrant verbal communication upon transfer.

POLICY & PROCEDURE





Effective Date:

September 2002
⌧Pharmacy Policy Manual
Chapter: Decentral
Operations Procedure Manual
Chapter:

Policy #: 3.20

Original
⌧ Revision
11/2013
Page 2
of 2
Title: Inpatient Hand-off Communications


4. These handoff communications are expected to occur as described within this
policy and do not need to be documented within the patient’s electronic medical
record.
5. Hand-off communications must allow for the opportunity to ask and respond to
questions. Face-to face communication between caregivers is encouraged but
alternate methods can be used such as communication by phone, fax,
email/electronic or other written means.
REFERENCES AND RELATED POLICIES, PROCEDURES
- UWHC Hospital Administrative Policy 8.88, Hand-Off Communication

V. Coordination:
Authored By: Pharmacy Manager, Patient Care Services & Emergency/Disaster Preparedness
Committee Approval By: Inpatient Pharmacy Managers Committee


Approved By: ____________________________
Director of Pharmacy Services

Date: ________________

xc: Pharmacist Training Folder
Pharmacist Assistant Training Folder