One page carries what changed, what matters now, and what the next clinician should watch, without turning care into a checklist.
Ana's twelve hours left 34 entries in the chart. David's handoff opens on the three that need his judgment; the other 31 stay one tap away.
Bed 14 · Ward 6B
E. Hale, 81 · day 3 of stay
Needs judgment · 3
Draft ready 18:40
Intermittent confusion.
Neuro obs every 2 h overnight.
Daughter asking about discharge.
Call with her booked for 09:00.
Urine output down.
Recheck at 23:00 and escalate if it keeps falling.
31 routine entries unchanged · source record one tap away
Accept handoffAt 19:00
Today the day nurse talks through the whole shift, bed by bed, in the order it happened. The change that matters sits somewhere between routine obs and a medication round.
Pilot figure: on the first ward to try it, handoff for a bay ran 14 minutes shorter on average, and nurses said the time went on questions rather than recaps.
| Aspect | Today | With Morrow |
|---|---|---|
| What arrives | A spoken rundown of the whole day, in order. | One card: what changed, then what to watch. |
| Where the change sits | Between routine entries, late in a long shift. | At the top, marked as needing judgment. |
| What to do next | Whatever the listener thinks to ask. | A time to look again and when to escalate. |
| The source | Memory and paper notes; the chart is another login. | Every line opens the chart entry it came from. |
How it works
Nothing new to fill in during the day. Morrow works from the chart the ward already keeps.
As she charts, Ana taps Changed on anything David needs to hear and adds a line on what to watch. Routine entries need nothing extra.
One card per patient, changes first. Each line links to the chart entry it came from, and routine entries fold into a single line.
David reads it with Ana at the bedside, opens any source he wants, and accepts. The chart logs who handed over and when.
Limits
The card is a starting point for a conversation between two nurses. It does not make the clinical decision for either of them.
No fields to tick. If nothing changed, the card says so in one line.
No risk numbers or rankings. The weighing stays with the nurse.
The chart stays the record. Morrow writes back only the accepted handoff.
Every line names who charted it and when, and opens the entry in one tap.
The handoff records the change, not the whole day.
It carries only what the next clinician needs to act on or watch, says when to look again, and keeps the full source record one tap away.
Judgment stays with the two nurses at the bedside. Morrow decides what to show first, never what to do.
Pilot
Eight weeks on two wards, beside the chart you already use. Nothing migrates, one short session per ward covers the training, and any shift can go back to a spoken handoff.