What is the first step in the shoulder to shoulder count procedure?

The first step in the shoulder to shoulder count procedure is for the outgoing staff to hold the count book. This step is essential because the count book serves as the official record of medication inventory and is crucial for ensuring accountability and accuracy during the handover process. By having the outgoing staff hold the count book, it ensures that all relevant information, including the previous counts and discrepancies, can be referenced appropriately.

Following this step, the subsequent actions can include verifying and counting the medication, which are also critical but occur only after the count book is established and ready for use. This structured approach helps to maintain the integrity of the medication management process and reduces the risk of errors during the transfer of responsibility between staff.