Place the nursing actions in order when transferring a deteriorating client from a medical unit to the intensive care unit.

Correct sequence
Reassess and prepare transport → reconcile critical information → give the structured handoff → confirm receiver synthesis and acceptance → transfer records and document.

Why this is correct
A handoff transfers information, authority, and responsibility. A one-way report is incomplete when the receiver has not clarified uncertainty or acknowledged responsibility. The sending RN also must communicate any material change before the client physically leaves.

NCLEX decision rule
Stabilize urgent threats first, then close the loop. Never assume that an electronic note alone transferred accountability.