Sign off template

ASK THESE QUESTIONS TO YOUR CHIEF ON MORNING ROUNDS ANYTIME YOU ARE SIGNING OFF OF A PATIENT.
Whenever you sign off in a sloppy manner, it will be a guaranteed re-consult for the person on call. Take 10 seconds during rounds to ask your chief these questions. Make a .so dot phrase that you train yourself to use anytime you sign off, so you don't forget any aspect of this.
NSGY is signing off, please page YOUR PAGER* for further questions.
  • No acute NSGY intervention
  • DVT ppx (SQH/SQL) restart okay on DATE
  • AP/AC restart okay on DATE or No AC/AP until seen in follow-up.
  • DIET okay on DATE
  • Follow up in ____ clinic in _____ with specific imaging vs. no imaging (depart updated)
  • NO driving until follow-up
  • NO lifting > 5 lbs until follow-up
  • Do NOT return to work until follow-up
  • NSGY will sign off; please page if any questions
If pertinent:
  • AEDs for 7 days following the initial day of trauma injury
CRITICAL NOTES:
1. AP/AC restart plan is the most important thing to address. Put ok on Post-op day N and also the specific date so it's completely clear. This is guaranteed a re-consult if you do not address.
2. Update the depart yourself with the specific attending / center so you make this fool-proof.