Patient Handoff Communication Checklist [FREE PDF]
Nurses and physicians use this checklist during shift changes and patient transfers per Joint Commission National Patient Safety Goal 02.05.01 handoff communication requirements and I-PASS framework.
- Industry: Healthcare
- Frequency: Per Event
- Estimated Time: 5-10 minutes
- Role: Registered Nurse
- Total Items: 8
- Compliance: Joint Commission NPSG.02.05.01, I-PASS Handoff Framework
Clinical Information Transfer
Verify essential clinical information communicated during handoff.
- Has the patient's illness severity and primary diagnosis been communicated?
- Has the current care plan and pending actions been reviewed?
- Have current medications, allergies, and recent changes been reviewed?
- Clinical summary notes
Safety Concerns & Contingency Planning
Address patient safety risks and contingency plans.
- Have fall risk, isolation status, and safety precautions been communicated?
- Has a contingency plan for anticipated changes been discussed?
- Was the receiving provider given opportunity to ask questions and read back?
- Safety and contingency notes
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Why Use This Patient Handoff Communication Checklist [FREE PDF]?
This patient handoff communication checklist [free pdf] helps healthcare teams maintain compliance and operational excellence. Designed for registered nurse professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: per event.
Ensures compliance with Joint Commission NPSG.02.05.01, I-PASS Handoff Framework. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Patient Handoff Communication Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Clinical Information Transfer, Safety Concerns & Contingency Planning. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per event. Each completion takes approximately 5-10 minutes.
Who should use this Patient Handoff Communication Checklist [FREE PDF]?
This checklist is designed for Registered Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.