Situation

- Patient Name: [PATIENT NAME]

- Location: [CURRENT LOCATION]

- Current Status: [BRIEF DESCRIPTION OF PATIENT'S CONDITION]

- Reason for Handoff/Transfer: [BRIEF EXPLANATION OF WHY THE HANDOFF/TRANSFER IS OCCURRING]

- Relevant History: [KEY MEDICAL HISTORY OR RECENT EVENTS RELEVANT TO THE CURRENT SITUATION]

- Code Status: [PATIENT'S CODE STATUS]

Background

- Allergies: [PATIENT ALLERGIES, IF ANY]

-Medications: [CURRENT MEDICATIONS, DOSES, AND ADMINISTRATION ROUTES]

- Vital Signs: [LATEST VITAL SIGNS INCLUDING TEMPERATURE, HEART RATE, BLOOD PRESSURE]

- Lab Results: [RECENT LAB RESULTS AND ANY SIGNIFICANT FINDINGS]

- Imaging: [RECENT IMAGING RESULTS AND ANY SIGNIFICANT FINDINGS]

Assessment

- Current Assessment: [SUMMARY OF THE PATIENT'S CURRENT CONDITION AND ANY CHANGES]

- Concerns/Issues: [ANY CONCERNS OR ISSUES REQUIRING ATTENTION]

- Plan of Care: [BRIEF OVERVIEW OF THE PLAN FOR THE PATIENT, INCLUDING INTERVENTIONS]

Recommendation

- Action Needed: [SPECIFIC ACTIONS RECOMMENDED FOR THE RECEIVING HEALTHCARE PROVIDER]

- Follow-Up: [ANY NECESSARY FOLLOW-UP ACTIONS OR INSTRUCTIONS]

- Questions/Clarifications: [ANY QUESTIONS OR AREAS NEEDING CLARIFICATION]