Ward
Handover Lab
Good handover is ruthless triage of information: actions and thresholds, not biography. Each exercise gives you one patient and ten candidate lines; choose the five that keep the night safe, then compare against the model sign-out.
The hyperkalemia sign-out
58M with hyperkalemia and AKI (bed 9), end of your day shift.
10 lines · pick 5
The new AF start
71F, post-op day 3, new atrial fibrillation this morning, now rate-controlled (bed 5), end of your day shift.
10 lines · pick 5
The neutropenia sign-out
59M with lymphoma, day 10 post-chemotherapy, admitted this evening with febrile neutropenia (side room 3), end of your evening shift.
10 lines · pick 5
The melena watch
71M with an upper GI bleed, scoped and injected this afternoon (bed 4), end of your day shift.
10 lines · pick 5
The DKA on the pump
24F in DKA on a fixed-rate insulin infusion (bed 2), handing over to the night.
10 lines · pick 5
The retainer on the edge
68M, severe COPD exacerbation, known CO2 retainer (bed 17), day three, handing over to the night.
10 lines · pick 5
The anticoagulated head strike
83F on warfarin who hit her head in a witnessed fall at 17:30 (bed 26), CT normal, handing over at 20:00.
10 lines · pick 5
The comfort-focused night
89M with end-stage heart failure, comfort-focused care agreed today with him and his family (side room 30).
10 lines · pick 5
The principles behind the exercise live in the handover topic.