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First Edition Surgical Safety Checklist

The document outlines a surgical safety checklist with 3 sections - before induction of anaesthesia, before skin incision, and before patient leaves operating room. The checklist includes verifying the patient's identity and procedure, completing equipment safety checks, reviewing any anticipated critical events or concerns, and confirming key details before the patient leaves the operating room such as procedure details and equipment issues. The goal is to promote effective team communication and ensure patient safety is addressed at key phases of the surgical process.

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rraven16
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© Attribution Non-Commercial (BY-NC)
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258 views

First Edition Surgical Safety Checklist

The document outlines a surgical safety checklist with 3 sections - before induction of anaesthesia, before skin incision, and before patient leaves operating room. The checklist includes verifying the patient's identity and procedure, completing equipment safety checks, reviewing any anticipated critical events or concerns, and confirming key details before the patient leaves the operating room such as procedure details and equipment issues. The goal is to promote effective team communication and ensure patient safety is addressed at key phases of the surgical process.

Uploaded by

rraven16
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SURGICAL SAFETY CHECKLIST (FIRST EDITION)

BEFORE INDUCTION OF ANAESTHESIA BEFORE SKIN INCISION BEFORE PATIENT LEAVES OPERATING ROOM

SIGN IN TIME OUT SIGN OUT


‰ PATIENT HAS CONFIRMED ‰ CONFIRM ALL TEAM MEMBERS HAVE NURSE VERBALLY CONFIRMS WITH THE TEAM:
• IDENTITY INTRODUCED THEMSELVES BY NAME AND ROLE
‰ THE NAME OF THE PROCEDURE RECORDED
• SITE ‰ SURGEON, ANAESTHESIA PROFESSIONAL AND
• PROCEDURE ‰ THAT INSTRUMENT, SPONGE AND NEEDLE
NURSE VERBALLY CONFIRM
COUNTS ARE CORRECT (OR NOT
• CONSENT • PATIENT APPLICABLE)
• SITE
‰ SITE MARKED/NOT APPLICABLE ‰ HOW THE SPECIMEN IS LABELLED
• PROCEDURE
(INCLUDING PATIENT NAME)
‰ ANAESTHESIA SAFETY CHECK COMPLETED ANTICIPATED CRITICAL EVENTS
‰ WHETHER THERE ARE ANY EQUIPMENT
‰ PULSE OXIMETER ON PATIENT AND ‰ SURGEON REVIEWS: WHAT ARE THE CRITICAL PROBLEMS TO BE ADDRESSED
FUNCTIONING OR UNEXPECTED STEPS, OPERATIVE DURATION,
ANTICIPATED BLOOD LOSS?
DOES PATIENT HAVE A: ‰ SURGEON, ANAESTHESIA PROFESSIONAL AND
‰ ANAESTHESIA TEAM REVIEWS: ARE THERE ANY
KNOWN ALLERGY? PATIENT-SPECIFIC CONCERNS? NURSE REVIEW THE KEY CONCERNS FOR
RECOVERY AND MANAGEMENT OF THIS
‰ NO ‰ NURSING TEAM REVIEWS: HAS STERILITY PATIENT
‰ YES (INCLUDING INDICATOR RESULTS) BEEN
CONFIRMED? ARE THERE EQUIPMENT ISSUES OR
DIFFICULT AIRWAY/ASPIRATION RISK? ANY CONCERNS?
‰ NO
HAS ANTIBIOTIC PROPHYLAXIS BEEN GIVEN WITHIN
‰ YES, AND EQUIPMENT/ASSISTANCE AVAILABLE THE LAST 60 MINUTES?
RISK OF >500ML BLOOD LOSS (7ML/KG IN CHILDREN)? ‰ YES
‰ NO ‰ NOT APPLICABLE
‰ YES, AND ADEQUATE INTRAVENOUS ACCESS IS ESSENTIAL IMAGING DISPLAYED?
AND FLUIDS PLANNED
‰ YES
‰ NOT APPLICABLE

THIS CHECKLIST IS NOT INTENDED TO BE COMPREHENSIVE. ADDITIONS AND MODIFICATIONS TO FIT LOCAL PRACTICE ARE ENCOURAGED.

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