Handover Notes
End-of-shift SBAR handover — outgoing to incoming team
GM-01
Arun Kumar
62MUrgent
AKI on CKD
SITUATION: Urine output dropped to 20 mL/h last 3h. Creatinine 3.8 (was 2.1 yesterday). BACKGROUND: CKD stage 3, hypertension, admitted for fluid optimisation. ASSESSMENT: Fluid overloaded clinically. RECOMMENDATION: Consider furosemide 40 mg IV stat. Nephrology consult — call Sr. Dr. Shah if no response in 2h.
GM-04
Priya Sharma
45FReview
PUO
SITUATION: Temperature spiking to 39.2°C despite 48h of ceftriaxone. BACKGROUND: Admitted 2d ago, blood cultures pending. LFT mildly deranged. ASSESSMENT: ?Enteric fever, ?hepatitis. RECOMMENDATION: Review blood cultures and serology report in the morning. If cultures negative, broaden cover — discuss with ID.
CRD-02
Vikram Singh
66MStable
NSTEMI post-PCI
SITUATION: Stable post-PCI day 2. BP 128/76, HR 68. BACKGROUND: NSTEMI, stented LAD. On dual antiplatelet. ASSESSMENT: Doing well clinically. RECOMMENDATION: Continue current medications. Eligible for step-down to ward tomorrow if stable overnight.
Surg-8B
Kavya Sharma
42FFor Discharge
Post-op lap chole
SITUATION: Post-op day 6, ready for discharge. Apyrexial. Tolerating diet. BACKGROUND: Perforated appendicitis operated 17 Jun. ASSESSMENT: Fit for discharge. Prescription ready. RECOMMENDATION: Discharge in AM. Ensure discharge summary signed and follow-up booked (Surgery OPD 1 Jul 2026).