EmailMe Form - SHARED Handover Form

Completed by:

First Last

S - Situation *

What is the headline of the shift - Get the important info out first e.g. Significant changes in care, Risk events, Changes in care management, or if there isnt anything - state No Headline

H - History *

Discuss what has occurred during the shift

A - Appointments *

Discuss any appointments attended during the previous shift or to be attended during the current shift

R - Risk *

Discuss information needed to keep everyone safe E.g. Reportable events

E = Expectations *

Outline any additional expectations of the next shift including recommendations/ expectations

Document completion of email/verbal handovers in the Daily Notes at each shift change. *

Done

Whoops, doing it now

It is recommended that handover by lead by the person who is staying on shift (if this is the case).

Reading the case notes before staff start their shift is an integral part of the role. This can lead to significant incidents and potentially lead to harm. It is an expectation that staff are responsible for reading the case notes before they start the shift. Please advise office staff if you are aware when this is not ocurring *

Understand, this occured

Date of Handover

DD / MM / YYYY

Completed handover: Signature

Clear