1. Hand-off Pre-Op OR Antibiotics to be given Planned surgical Procedure
Significant medical history
Family contact information
Equipment needs
Other issues (e.g., NPO, blood products available)
Planned surgical Procedure
Universal Protocol
Planned anesthesia type
Allergies
Last voided
Preop medications
Courtesy of Tripler Army Medical Center. Adapted from OR Manager, April 2006.

2. OR OR Hand-off Procedure Irrigation
Surgeon Plan and Preferences (where we are in the case)
Anesthesia type
Allergies
Significant Medical History
Counts
Irrigation
Medications
Instrumentation on and off field
Specimens on and off field
Equipment needs
Tubes, Lines, Hoses
Procedure
Surgeon plan and preferences (where are we in the case)
Anesthesia type
Allergies
Significant medical history
Counts
Courtesy of Tripler Army Medical Center. Adapted from OR Manager, April 2006.

3. OR Team PACU Hand-off Surgical procedure
(completed vs. planned)
Anesthesia type
Estimated Blood Loss
Input & Output (e.g., straight catheter, foley)
Allergies
Medications (received intra-op)
Significant medical history (e.g., contact precautions)
Family contact information?
Equipment needs (e.g., sequential compression devices)
Other issues (e.g., blood products, anesthesia concerns)
Courtesy of Tripler Army Medical Center. Adapted from OR Manager, April 2006.