Assessing Anesthesia and Post Anesthesia Care Unit Perceptions of Adequacy of a Patient Care Handoff Tool: A Doctor of Nursing Practice Project

Abstract

This DNP Project aimed to assess the perceptions of CRNAs and PACU RNs regarding a standardized handoff checklist utilized during transfer of care from the operating room to the PACU in a level one trauma center in the southeastern United States. While CRNAs use a systematic approach to giving handoff, there is currently no required standardized method for all CRNAs to use when at this institution. CRNAs were provided instruction on use of the American Patient Safety Foundation PACU Handoff Checklist and utilized the checklist for a two-week period. Qualtrics surveys were distributed to the five participating CRNAs before and after the pilot project to assess their opinions on their current handoff method compared to handoff using the checklist. PACU RNs were given a survey upon transfer of care to assess their perceptions completeness and efficiency of handoff when the checklist was used. All CRNAs agreed the checklist was a comprehensive and efficient way to organize information. The majority of PACU RNs (n=28) believed the checklist contributed to an efficient and comprehensive handoff report. This pilot project could be utilized by the facility for future quality improvement projects.