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5 lessonsAbout 32 minutesNo CE or licensure credit

Change in condition: notice it, describe it and hand it off

Five short lessons on turning "something is off" into a clear description of the change, a handoff with a clear request and a confirmed next step, without diagnosing.

Begin the courseSee the sourcesPrint the job aids

Written for

  • Facility leadership
  • Facility and direct-care teams
  • Caregivers and aides
  • CCA professionals
Course version
2026.10.3
Text checked against its sources

Before you begin

What you will be able to do

  • Describe a change in a resident’s condition by comparing it with the person’s usual pattern, with when it began, and without naming a cause.
  • Raise a change the way the person’s plan and the site’s procedure say: the emergency process and 911 first when they apply, and the approved backup when the named contact does not answer.
  • Give a short SBAR handoff that stays within your role and ends with a clear request and a time.
  • Close the loop by confirming who received the handoff, who owns the next step and when it will be reviewed.
  • Write a note that keeps observations, the person’s words and directions apart, so the next shift can continue without guessing.

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In this course

  1. Start with the person’s usual patternAbout 7 minutes · Not yet
  2. Use the plan and the procedure to set urgencyAbout 6 minutes · Not yet
  3. Build a handoff the listener can act onAbout 7 minutes · Not yet
  4. Confirm that the message arrivedAbout 6 minutes · Not yet
  5. Write the note the next person will continue fromAbout 6 minutes · Not yet
  6. Course check · 10 questions0 of 5 lessons done

Sources

Sources behind this course

Each lesson lists the sources it uses. Open the original for the exact rule, form or instruction that applies to your work. The source library describes each one in more detail.

AHRQ

TeamSTEPPS tools

SBAR, closed-loop communication, check-back, handoff and team tools.

Where to look: Module 1 (communication tools) and Module 2 (team leadership tools).

Open the AHRQ TeamSTEPPS modules
AHRQ

Change in condition resources for long-term care

Structured ways to notice and communicate a change in condition. Adapt them to residential care.

Where to look: The Detecting Change in a Resident’s Condition training materials.

Open the AHRQ change-in-condition page
California CDSS

Dementia care information and resources

California RCFE dementia guidance and the current implementation resources.

Where to look: The current dementia-care regulatory resources, FAQs, forms and presentation.

Open the CDSS dementia-care page
Call the ALW teamFit check