Every nurse has handed over a patient and hoped for a smooth transition.
But here’s the truth:
Poor communication during handoffs is one of the top causes of preventable harm in healthcare.

The difference between a good shift and a dangerous one often lies in what gets passed on—or left out.

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✨ What’s at Stake in Every Handoff

Think of a patient as a puzzle. You have some pieces, and the oncoming nurse needs all of them to see the full picture.
If you leave out a piece, even a small one, the next shift miss the full story. Your patient suffer as a result.

Examples of what’s often missed:

• Recent medication changes
• Family concerns or new behaviour
• Pending labs or imaging
• Subtle but important trends in vitals
• Emotional state or risk of deterioration

5 Ways to Improve Your Handoffs Today

1. Use a Structured Tool (Like SBAR)

• Situation
• Background
• Assessment
• Recommendation
  This keeps your handoff focused, clear, and complete, especially when you’re tired or in a rush.

2. Include “What’s Not Yet Done”
Pending tasks matter. Mention what labs haven’t resulted, what medications are due, and what issues still need attention.

3. Speak Up About Safety Concerns
If a patient is at risk for a fall, say it plainly. If there’s rapid deterioration, state it clearly. In case of a confused episode, mention it explicitly. Don’t assume the signs are obvious.

4. Be Honest, Not Just Polite
If the shift was chaotic, say it. If a family member was difficult, say it. If you’re unsure about something, say it.
Transparency builds trust and prepares your colleague to succeed.

5. Ask and Answer Questions
Encourage your oncoming nurse to ask questions—and be ready to clarify.

Final Thought:

A great handoff isn’t about sounding perfect—it’s about protecting your patient and empowering your colleague.

The best handoffs occur when we communicate with clarity. We must also show compassion and aim for a shared goal:
Safe, seamless care.

Because what you hand over is more than a report, it’s a responsibility.