SS - OR to PACU Handoff


Which department are you completing this survey for?

Name of the employee observed:


Patient verified using two patient identifiers?
If no, give reason:

PACU Pause performed?

When patient arrives to PACU, there is a pause for the PACU nurse to setup patient on monitor and wait for the PACU nurse to say "I am ready for report"

If no, give reason:

Handoff given to PACU RN by Anesthesiologist?
If no, give reason:

Handoff given to PACU RN by OR RN?
If no, give reason: