===== Cardiac Surgery Hand Off Script =====

**Anesthesia Provider:** "Is every ready for hand off?"

**Primary Nurse and ICU Staff:** "Yes"

**All:** Silence

[Mr./Mrs.] __[Name]__ is a __[Age]__ year old [male/female] who underwent a __[Surgery]__ with Dr. __[Name]__ today. Presenting symptoms include __[Symptoms]__. [His/Her] past medical history of significant for __[PMH]__.   

Induction was [**uneventful**/eventful due to __[Reasons]__].  

Intubation was [**easy**/moderate/difficult]. We used __[Blade/Glidescope/Bougie]__ to intubate. 

Vascular access includes __[Art/CVC/PAC/PIV]__ and was [**uncomplicated**/complicated by __[Reasons]__] 

Pre-bypass period was [**uncomplicated**/complicated by __[Reasons]__]. 

Separation from bypass required [**inotropic support**/pacing/mechanical support/minimal support]. 

The patient has [**ventricular pacing wires**/atrial pacing wires/both/none]. 

Post-bypass transesophageal echocardiogram revealed __[Findings]__.  

Current medications infusing includes __[Drips]__ [vasopressors/inotropes/sedation/insulin/TXA]. 

Ventilation post bypass was [**acceptable**/complicated by __[Hypoxia/Hypercarbia/Etc]__]. 

ABG was [**within normal limits**/significant for __[Findings]__]. 

Chest tubes are __[Mediastinal/Pleural]__. Are they connected to suction? [RN: “Yes”] 

Estimate blood loss was __[Liters]__. 

Total volume administered includes __[Volume]__ [PRBCs/FFP/Crystalloid/Albumin/Cell Saver].  

Hemoconcentration was __[Volume]__. 

Total urine output was __[Volume]__. 

We left the operating room at __[Time]__.  

This patient [**is**/is not] a fast-track candidate and [**received**/did not receive] nerve blocks.  

My **biggest concern** for this patient is __[Concerns]__. 

[**LVADs** – State last parameters and any right ventricular concerns/suck down events/volume status]. 

Are there any questions?