Which practice improves safety during OR to PACU transfer?

• A. Clear communication and use of standardized handoff tools.
• B. Relying on memory.
• C. Not documenting medications.
• D. Transport without bedside report.

Answer: (B)

Structured handoff communication during the OR to PACU transfer is the main driver of safety here. Using a standardized handoff tool, like SBAR or a checklist, ensures that the same critical details are conveyed in a consistent order and that the receiving team can confirm understanding. Key information typically included is who the patient is, what procedure was done, intraoperative events, anesthesia medications and dosages, fluids and blood products given, vital signs trends, allergies, implants or lines in place, the patient’s current status, the analgesia plan, and the post-op orders. A bedside report or read-back reinforces that both teams share the same understanding and responsibilities for the next phase of care.

Relying on memory is risky because human memory is fallible, especially in busy, interruption-filled environments. Important details can be forgotten or miscommunicated, leading to gaps in care. Not documenting medications removes an essential safety check, and transporting without a bedside report deprives the receiving team of real-time information and hands-on verification of devices, lines, and patient condition. A structured, documented handoff with confirmation is what keeps the patient safe during this high-risk transition.