P E A R L S S
INTRA-OPERATIVE HAND-OFF TOOL
*transplant surgery
PPATIENT INFO
(wrist band/labels)
Name Age *ABO/UNOS
Allergies GENDER *(thymoglobulin)
Unit from mode of transportation
Primary language Family/ belongings
PRECAUTION Isolation
PROCEDURE Surgical Procedure
Surgical Consent Blood Consent Jehovah’s witness
Attending Surgeon Fellow/Residents. Implant Rep.
Attending Anesthesia Anesthesia Resident
POSITION Position
Positioning devices
EEQUIPMENT ESU setting Neptune: Low- Med.- High
Argon Ligasure Harmonic Body/Fluid warmer
Irrigating bipolar Bone scalpel UTZ Microscope Video Tower
OTHER service specific:
AASSESSMENT Skin Extremities Foley Cath
Drains/VAC IRFO Chest tube
Other existing lines:
RRESOURCES Pagers/phone numbers:
X-ray CT IOM *Perfusionist
Intraop. Consult (SCD) Implant rep. OTHER:
LLINES IV Central Line IBP
VAC Drains Chest tube Foley Cath.
OTHER:
SSPECIAL NEEDS Pacemaker Prosthesis
Fall risk Security assistance Interpreter
SSITUATION Stage of surgery:
Special Report: Implants Specimens
Intraop. Events:
Surgical Unit:
Count: IRFO:
