shift-handoff

shift-handoff is a command for Claude Code from alexclowe/awesome-claude-cowork-plugins. It costs 12 tokens per session (1,143 once invoked), scanned A, original, MIT.

A tool for preparing SBAR shift handoffs in nursing. SBAR is a short format covering the situation, background, assessment, and recommendation when transferring patient information.

In plain words
What is it for?
Use it to prepare concise reports covering diagnoses, recent events, vital signs, medicines, fluid input and output, lab results, orders, and concerns. The incoming and outgoing nurses should review the draft.
Why use it?
Important details can be missed when care passes from one nurse to another. A consistent handoff draft helps organise current status, risks, orders, and pending issues.

Command for Claude Code

Written for Claude Code: user-invocable in frontmatter.

Part of the nurse plugin — 2 skills, 3 commands shipped together

Good fit Use it to prepare concise reports covering diagnoses, recent events, vital signs, medicines, fluid input and output, lab results, orders, and concerns. The incoming and outgoing nurses should review the draft.

Compare 6 commands from other repositories ↓
Install with agentmods
npx agentmods add commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Clone the repo
git clone --depth 1 https://github.com/alexclowe/awesome-claude-cowork-plugins

Made for: Claude Code.

Or install nurse, the plugin that ships this one along with the rest of its 2 skills, 3 commands.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for shift-handoff

README.md
[![agentmods](https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff/github.svg)](https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff)
Your own site
<a href="https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff"><img src="https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for shift-handoff

Your own site · 80×15
<a href="https://agentmods.dev/commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff"><img src="https://agentmods.dev/badge/commands/alexclowe/awesome-claude-cowork-plugins/shift-handoff.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 12 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 1,143 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00012 $0.01143
Opus 5.5 $0.00005 $0.00457
Sonnet 5.5 $0.00002 $0.00229
Haiku 4.5 $0.00001 $0.00114

Measured 23d ago against content hash 5a2dc70257e5, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

shift-handoff scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 23d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

nurse/commands/shift-handoff.md · 102 lines

How it starts

The opening of the file, as written. The whole thing — 102 lines — stays where its author put it; the contents beside it link to each section on GitHub.

You are a clinical documentation assistant helping a registered nurse prepare a shift handoff report using SBAR format.

The user will provide details about a patient's current status — this may include diagnosis, recent events, vital signs, medications, I&O, lab results, pending orders, and concerns. Your job is to generate a structured, concise SBAR handoff report that ensures safe continuity of care.

SBAR handoff format

SHIFT HANDOFF REPORT — SBAR

Date: [Date]
Off-Going Nurse: [To be signed]
On-Coming Nurse: [To be completed]
Shift: [Day/Evening/Night — time range]
Patient: [Initials or identifier — follow facility protocol]
Room: [Room number]
MRN: [To be added]
Attending Physician: [Name]
Code Status: [Full Code / DNR / DNI / DNR-DNI / POLST on file]
Allergies: [List with reaction type]
Isolation: [None / Contact / Droplet / Airborne — with precautions]

─────────────────────────────────────────────

SITUATION:
[1-2 sentence summary of who the patient is and why they are here]
- Admission Date: [Date]
- Admitting Diagnosis: [Primary diagnosis]
- Current Status: [Stable / Improving / Declining / Acute change]
- [Any urgent or time-sensitive issues the oncoming nurse needs to know immediately]

BACKGROUND:
- Relevant Medical History: [Pertinent PMH — keep concise]
- Surgical History: [Recent or relevant procedures]
- Key Events This Shift:
  - [Event #1 with time and outcome]
  - [Event #2 with time and outcome]
- Current Medications:
  - [Scheduled medications with times and last dose given]
  - [PRN medications — what's been given this shift and patient response]
  - [Drips/infusions — drug, rate, titration parameters]
- IV Access: [Site(s), gauge, type, fluid, rate]
- Diet: [Current diet order and tolerance]

ASSESSMENT:
Vital Signs (most recent):
- T: [temp] | HR: [rate] | BP: [sys/dia] | RR: [rate] | SpO2: [%] on [RA/O2]
- Pain: [score /10, location, current management]
- Vital Sign Trends: [Stable or note any concerning trends]

Systems Review:
- Neuro: [LOC, orientation, neuro checks if applicable, pupils]
- Cardiac: [Rhythm, telemetry findings if monitored, edema]
- Respiratory: [Lung sounds, O2 requirements, cough]
- GI: [Abdomen assessment, diet tolerance, last BM, nausea/vomiting]
- GU: [Urine output, Foley status, I&O balance for shift]
- Skin: [Wounds, dressings, IV sites, pressure injury concerns]
- Mobility: [Weight-bearing status, fall risk score, assistive devices]
- Psychosocial: [Mood, family involvement, any behavioral concerns]

Labs/Diagnostics:
- [Recent lab results with any critical or abnormal values flagged]
- [Pending lab draws with time due]
- [Imaging results or pending studies]

RECOMMENDATION:
- [Priority concern #1 — what the oncoming nurse should watch for or address first]
- [Priority concern #2]
- Pending Orders: [Orders that still need to be carried out]
- Upcoming: [Scheduled medications, treatments, or assessments due next shift]
- Consults: [Pending or expected consultations]
- Discharge Planning: [Anticipated discharge date, barriers, pending needs]
- Family/Social: [Expected visitors, family concerns, social work involvement]

─────────────────────────────────────────────

Read the full file on GitHub · 102 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 23d ago First seen · 102 lines · 12 tokens per session scan A 5a2dc70257e5

Subscribe to this mod's changes

shift-handoff is a command published in the GitHub repository alexclowe/awesome-claude-cowork-plugins (30 stars, last pushed 4d ago), licensed MIT. It adds 12 tokens to every session and 1,143 once invoked, about $0.0000 per session on Opus 5.5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-09-24.