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Meeting kitHealthcareHandovers

I-PASS handoff training

45 minutes 13 slides, 4 liveFree Free template

Teach I-PASS in 45 minutes: why it works, the five steps with a worked example, practice in pairs, the bedside version and a pocket card.

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I-PASS handoffs

Illness severity · Patient summary · Action list · Situation awareness · Synthesis

Title

In short

A nursing handoff passes responsibility for a patient from one nurse to the next. I-PASS structures it in five steps: illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by the receiver. This kit teaches it in 45 minutes with a worked example, pair practice, bedside steps and a pocket card.
Time
45 minutes
Slides
13, 4 interactive
Includes
Agenda, deck, pocket card
Plan
Free

Updated October 4, 2026

What's in the kit

  1. 1I-PASS handoffs
  2. 2Every handoff moves responsibility for a patient. I-PASS makes sure the plan moves with it.
  3. 3What the I-PASS study found
  4. 4The five steps
  5. 5Illness severity
  6. 6Her SpO2 keeps drifting down but every vital sign is in range. Severity?Stable · Watcher · Unstable live
  7. 7A worked example
  8. 8Which is a complete action list item?Follow up labs · Keep an eye on her · Recheck potassium at 22:00 (night RN) · Labs pending live
  9. 9Synthesis by receiver
  10. 10Bedside shift report
  11. 11How ready are you to use I-PASS at your next shift change? live
  12. 12What will get in the way on our unit, and what would fix it? live
  13. 13Same five steps. Every patient. Every handoff.

The agenda

By the end of this meeting, everyone can give and receive an I-PASS handoff, including synthesis by the receiver, and we've agreed where to start using it.

45 min · 7 blocks, drawn to scale Fits exactly
  1. What makes a handoff go wrong?, 4 minutes 4
  2. Why structure matters, and what the I-PASS study found, 5 minutes 5
  3. The five I-PASS steps, with a worked example, 10 minutesInfo 10
  4. Practice in pairs: give, receive, synthesize, then switch, 12 minutesDiscuss 12
  5. Bedside shift report: bringing I-PASS into the room, 6 minutes 6
  6. Where we start using it, 4 minutes 4
  7. Confidence check and the start date, 4 minutes 4
011233445 min
  1. +0′What makes a handoff go wrong?One word: what makes a handoff go wrong?Tip: Read the biggest words aloud. Interruptions, rushing and missing information usually top the list; the rest of the session answers each one.4 minCheck-in
  2. +4′Why structure matters, and what the I-PASS study foundTip: Present the deck. Keep the evidence slide short; people believe it more when they practice it.5 minInfo
  3. +9′The five I-PASS steps, with a worked exampleTip: Spend the most time on illness severity and synthesis. They're the two steps people skip.10 minInfo
  4. +19′Practice in pairs: give, receive, synthesize, then switchTip: Give each pair a made-up patient card. The receiver must synthesize before they swap. Walk round and listen for missing contingencies.12 minDiscuss
  5. +31′Bedside shift report: bringing I-PASS into the roomTip: Cover introductions, the safety check and how to handle sensitive information.6 minInfo
  6. +37′Where we start using itWhere should we start?4 minVote
  7. +41′Confidence check and the start dateTip: Name the start date and who will check in after two weeks. Send the pocket card from the follow-up.4 minWrap-up

The follow-up email

Subject

I-PASS pocket card and our start date

Thanks for today. Here's the pocket card and what we agreed.

Start date: ______  Where we start: ______  Check-in after two weeks: ______ (owner)

I-PASS POCKET CARD
I · Illness severity: stable, watcher or unstable. Say it first.
P · Patient summary: summary statement, events leading up to admission, hospital course, ongoing assessment, plan.
A · Action list: each to-do with a time and an owner.
S · Situation awareness and contingency planning: what's happening now; if ______ then ______.
S · Synthesis by receiver: summarize in your own words, ask questions, restate the actions.

BEFORE YOU START
[ ] Quiet place, interruptions held
[ ] Unstable and watcher patients first

AT THE BEDSIDE
[ ] Introduce yourselves and invite the patient and family
[ ] ID band, lines, pumps, alarms, call light, fall precautions
[ ] Ask: what questions do you have?

For the handoff itself, use the five-minute I-PASS shift handover agenda once per patient.

How to run it

  1. 1Print made-up patient cards for the pair practice: one stable, one watcher and one unstable per pair.
  2. 2Present the deck in the teaching block and use the two polls to check people can sort severity and spot a complete action list.
  3. 3In practice, don't let pairs swap until the receiver has given a real synthesis, not 'OK, got it'.
  4. 4Agree where to start with the vote, then set a start date and a two-week check-in before people leave.
  5. 5For real shift changes, use the five-minute I-PASS shift handover agenda once per patient, with this kit's pocket card.

Questions people ask

What does I-PASS stand for?
Illness severity, Patient summary, Action list, Situation awareness and contingency planning, and Synthesis by receiver.
What is bedside shift report?
A handoff given at the patient's bedside, with the patient and family invited to take part. Both nurses check the patient, lines and safety equipment together, and sensitive details are shared away from visitors.
Does I-PASS reduce errors?
In a 2014 study in the New England Journal of Medicine across nine pediatric residency programs, medical errors fell by 23% and preventable adverse events by 30% after the I-PASS program was introduced.
What is synthesis by receiver?
The last I-PASS step: the receiving clinician summarizes the patient in their own words, asks questions and restates the action list, so gaps show up before the giver leaves.

Run it with your group

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  • Everyone answers on their phone, no app or sign-up
  • A timer for every block on the shared screen
  • Results, decisions and actions in the summary
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