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?
