[Core] You notice a change in a patient’s condition that was not highlighted during handoff. How do you respond?

Example Answer

If I noticed a change that did not line up with the handoff report, I would trust the assessment in front of me and respond accordingly. I would reassess the patient, gather the key data I need, and escalate promptly using a clear communication structure such as SBAR if the situation warranted it. I would also update the charge nurse so the team was aligned.

I would not spend time blaming the previous nurse in that moment. The immediate priority is the patient. After the situation is stabilized, I may clarify the handoff gap if it is important for learning or future safety. Travel nurses step into handoff systems that vary from place to place, so being able to detect changes independently and act quickly is critical. Good handoff matters, but the bedside assessment still has to drive the response.

Common Poor Answer to Avoid

"If it was not mentioned in report, I would watch it for a while before making a big deal out of it."

Why it's weak

• It delays action and treats bedside assessment as less important than report.

Why this works

• It shows independent clinical judgment without creating unnecessary conflict.