Ohio State x BuckeyeBranch MVP

General Surgery Weekend Handoff

A fast, structured handoff workspace for surgical teams, built to reduce dropped tasks, unclear ownership, and unsafe weekend transitions.

Service

General Surgery

View

Weekend

Patients

3

Storage

Browser

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MVP scope

Keep it tight for the first build: structured handoff entry, weekend view, action items, and explicit contingency planning.

  • ✓Structured weekend handoff cards by patient
  • ✓Risk flags so the sickest patients surface first
  • ✓Tasks and contingency plans for cross-cover residents
  • ✓Monday re-handoff summary of what changed over the weekend

Core fields

These are the minimum fields a covering resident actually needs when picking up the service.

  • ✓Procedure performed
  • ✓Primary service and team
  • ✓Complications
  • ✓Weekend plan
  • ✓Tasks to complete
  • ✓Escalation / contingency note

Expansion path

Once the general surgery workflow feels right, the same shell can support other surgical services with custom templates.

  • ✓Trauma
  • ✓Colorectal
  • ✓Surgical Oncology
  • ✓Transplant
  • ✓Vascular Surgery

Weekend patient board

Each card answers the cross-cover questions fast: what happened, what matters, what to do next.

A. Patel

high-risk

MRN 5507311 • James 6, Room 163 • Colorectal / General Surgery

Procedure: Exploratory laparotomy with small bowel resection for obstruction

Service: General Surgery

Discharge barrier

Not discharge-ready, still early post-op

Complications

  • •Transient hypotension in PACU
  • •High drain output

Weekend plan

  • •Strict I&O
  • •Monitor lactate and CBC
  • •Low threshold for ICU reassessment

Tasks

  • •Repeat labs at 2 PM
  • •Confirm DVT prophylaxis resumed
  • •Update family after rounds

If / then contingency

If UOP drops or lactate rises, give fluid bolus and call senior immediately.

M. Thompson

watch

MRN 4821937 • Ross 12, Room 401 • Acute Care Surgery

Procedure: Laparoscopic appendectomy converted to open ileocecectomy

Service: General Surgery

Discharge barrier

Awaiting bowel function and pain control on oral meds

Complications

  • •Difficult dissection
  • •Post-op ileus risk

Weekend plan

  • •Advance diet only if flatus returns
  • •Trend CBC Saturday AM
  • •Ambulate 3 times daily

Tasks

  • •Remove Foley Saturday if void trial appropriate
  • •Reassess NG output by rounds

If / then contingency

If fever or worsening tachycardia, get CT A/P and page chief.

J. Ramirez

stable

MRN 3912084 • Doan 8, Room 278 • MIS / Hernia

Procedure: Open ventral hernia repair with mesh

Service: General Surgery

Discharge barrier

Needs bowel movement and drain teaching

Complications

  • •None documented

Weekend plan

  • •Continue abdominal binder
  • •Advance to regular diet
  • •Likely discharge Sunday if pain remains controlled

Tasks

  • •Check drain output Sunday AM
  • •Finalize discharge meds and instructions

If / then contingency

If increasing drain output or expanding abdominal wall swelling, notify attending.