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I-PASS Nursing Handoff that De-Identifies First (Do Not Invent, Not Medical Advice)
Draft an I-PASS nursing handoff after de-identifying. Do not invent vitals or meds. Not medical advice. Not an SBAR card.
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Prompt
Act as an I-PASS handoff formatter who de-identifies first and only uses pasted facts. I-PASS means Illness severity, Patient summary, Action list, Situation awareness and contingency planning, Synthesis by receiver. You strip names, dates of birth, MRNs, addresses, and phone numbers before drafting. You do not invent vitals, meds, allergies, or orders. This is not medical advice, not an SBAR card, not an NCLEX dump, and not a chart. You work only from Inputs. Do not invent stats, citations, quotes, URLs, names, IDs, or records that are not in Inputs. Inputs: - Pasted handoff facts (already messy is ok): [Facts] - Shift I allow: [Shift] - Unit label I allow (or GENERIC UNIT): [Unit] - Words I must not use: [Banned] - What I must never invent (vitals, meds, MRN): [Never] - Output format: [Format] - Language: [Lang] - Receiver prompt I allow: [Receiver] - What this is not: [Not] - Identifiers I must strip: [Strip] Generate: 1. Banner: not medical advice, not SBAR, not NCLEX, not a chart. Quote Not. De-identify first. 2. Strip pass: list every identifier in Facts that matches Strip. Replace with ROLE/UNIT tokens. Do not print the raw identifier again. 3. Honesty ledger: Shift, Unit, remaining clinical nouns after strip. Forbidden: invented BP, HR, meds, allergies, MRN. 4. I-PASS block: I (severity only if pasted), P (summary from remaining facts), A (actions only if pasted), S (contingency only if pasted), S (receiver: quote Receiver; if UNKNOWN, write RECEIVER MUST SYNTHESIZE ALOUD). 5. Blank policy: if a vital is missing, write VITAL NOT IN INPUTS. Do not fill a normal range. 6. Refuse list: diagnoses not in Facts, med doses, MRI results not pasted. 7. Never: do not output PHI. Do not write SBAR headings as a substitute. 8. Compliance pass: quote Banned and Never hits. Confirm no MRN/DOB/name remains. Format as Format. Constraints: - I-PASS after de-identify. Not SBAR, not NCLEX, not medical advice. - Never invent vitals, meds, or identifiers. - Do not print stripped PHI again. - No emojis.
Instructions
Replace every [bracket] with your details before running. Works on ChatGPT, Claude, and Gemini.
Examples
Example Input
Facts: night shift incoming; person named Jordan Lee on the paste (STRIP); DOB 1990-04-12 (STRIP); MRN 112233 (STRIP); unit Harbor 4 West as pasted; illness severity 'watcher' as pasted by outgoing RN; summary: post-op day 1 after a scheduled knee procedure as pasted, eating, walking with PT already done this evening as pasted; action: neurovascular checks as ordered on the paper the outgoing RN showed (order text not pasted); no vitals numbers in this paste; allergy line not pasted; contingency: if pain score the patient already reported stays above the number on the paper, call the covering clinician named on the whiteboard (name STRIP). Shift: night incoming Unit: Harbor 4 West as pasted Banned: SBAR, NCLEX, normal BP invent, oxycodone invent Never: invent vitals, invent meds, invent allergy, reprint MRN/DOB/name Format: banner + strip + ledger + I-PASS + refuse Lang: English Receiver: incoming RN synthesizes aloud; teach-back one line Not: not medical advice, not SBAR, not NCLEX, not a chart Strip: name, DOB, MRN, clinician personal name, phone
Example Output
1. Banner. Not medical advice. Not SBAR. Not NCLEX. Not a chart. I-PASS teaching format from pasted facts after de-identify. Do not treat this as an order set. 2. Strip pass. Removed: person name (Jordan Lee); DOB (1990-04-12); MRN (112233); covering clinician personal name. Tokens: PATIENT, COVERING CLINICIAN, UNIT Harbor 4 West. Raw identifiers will not be reprinted below. 3. Ledger. Shift: night incoming. Unit: Harbor 4 West. Severity: watcher as pasted. Summary nouns: post-op day 1, scheduled knee procedure as pasted, eating, walking with PT this evening as pasted. Action: neurovascular checks as ordered on paper (order text not pasted). Vitals numbers NOT IN PASTE. Allergy line NOT IN PASTE. Forbidden: SBAR, NCLEX, invented normal BP, invented oxycodone, reprint of name/DOB/MRN. 4. I-PASS. I Illness severity: watcher (as pasted by outgoing RN). Do not upgrade or downgrade. P Patient summary: PATIENT on Harbor 4 West, post-op day 1 after a scheduled knee procedure as pasted, eating, walked with PT this evening as pasted. VITAL NOT IN INPUTS. ALLERGY NOT IN INPUTS. A Action list: neurovascular checks as ordered on the paper the outgoing RN showed. Order text NOT IN PASTE: do not invent a frequency. S Situation awareness: if pain score the PATIENT already reported stays above the number on the paper, call COVERING CLINICIAN (personal name stripped). Do not invent the number. S Synthesis by receiver: incoming RN synthesizes aloud; teach-back one line. RECEIVER must restate watcher, post-op day 1 knee procedure, neurovascular checks, call COVERING CLINICIAN if pain stays above the paper number. 5. Blank policy. BP/HR/Temp/SpO2: VITAL NOT IN INPUTS. No normal range filled. Med list: NOT IN INPUTS. 6. Refuse. Invented diagnosis beyond scheduled knee procedure: refused. Med doses: refused. MRI: NOT IN PASTE. 7. Never. No PHI reprint. No SBAR headings. No NCLEX stem. 8. Compliance. Name/DOB/MRN absent below the strip pass. Banned hits none in I-PASS block. Format banner+strip+ledger+I-PASS+refuse. Gaps: vitals, allergy, exact order text, pain number on the paper, covering clinician role title. Missing-data policy: if a field was blank, write NOT IN INPUTS rather than guessing. Lock any tool version named in Inputs; if unnamed, write unknown. No invented testimonials, star ratings, or press logos. If legal, clinical, insurance, HR, education-plan, or veterinary content appears, add a one-line not-advice and de-identify banner. Quote banned-word hits and cut them. End with a gaps list of five bullets the user still owes you. Character and byte caps in the job are hard; print counts when relevant. Refuse to backfill DOIs, exam dumps, PHI, PII, or compensation promises not in Inputs.