Surgical safety checklist: Difference between revisions
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{{CMG}}; Associate Editor-In-Chief: [[User:Rim Halaby|Rim Halaby]] | {{CMG}}; '''Associate Editor-In-Chief:''' [[User:Rim Halaby|Rim Halaby]] | ||
{| class="wikitable" border="1" style="background:FloralWhite" | {| class="wikitable" border="1" style="background:FloralWhite" | ||
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| colspan="2" |'''BEFORE INDUCTION OF ANESTHESIA'''<br>(With at least nurse and anesthesiologist) | | colspan="2" |'''BEFORE INDUCTION OF ANESTHESIA'''<br>(With at least nurse and anesthesiologist) | ||
|- | |- | ||
| Has the patient confirmed his/her identity, site, procedure and consent?||☐ | | Has the patient confirmed his/her identity, site, procedure and consent?||☐ Yes | ||
|- | |- | ||
| Is the site marked?||☐ | | Is the site marked?||☐ Yes <br>☐ Not applicable | ||
|- | |- | ||
| Is the anesthesia machine and medication check complete?||☐ | | Is the anesthesia machine and medication check complete?||☐ Yes | ||
|- | |- | ||
| Is the pulse oximeter on the patient and is it working?||☐ | | Is the pulse oximeter on the patient and is it working?||☐ Yes | ||
|- | |- | ||
| Does a patient have a known allergy?||☐ | | Does a patient have a known allergy?||☐ No <br>☐ Yes | ||
|- | |- | ||
| Does the patient have difficult airway or aspiration risk?||☐ | | Does the patient have difficult airway or aspiration risk?||☐ No <br>☐ Yes, and equipment/assistance is available | ||
|- | |- | ||
| Risk of more than 500 ml blood loss ( | | Risk of more than 500 ml blood loss (7ml/kg in children)?||☐ No <br>☐ Yes, and two IVs/central access fluids are planned | ||
|-bgcolor="MediumAquamarine" | |-bgcolor="MediumAquamarine" | ||
| colspan="2" |'''BEFORE SKIN INCISION'''<br>(With nurse, anesthesiologist and surgeon) | | colspan="2" |'''BEFORE SKIN INCISION'''<br>(With nurse, anesthesiologist and surgeon) | ||
|- | |- | ||
| Confirm | | Confirm all team members introduced themselves by name and role.||☐ Yes | ||
|- | |- | ||
| Confirm | | Confirm the patient's name, procedure, and where the incision will be made.||☐ Yes | ||
|- | |- | ||
| Has antibiotic prophylaxis been given within the last 60 minutes?||☐ | | Has antibiotic prophylaxis been given within the last 60 minutes?||☐ Yes <br>☐ Not applicable | ||
|- | |- | ||
| Ask the surgeon about anticipated critical events.||☐ What are the critical or non-routine steps?<br>☐ How long will the case take?<br>☐ What is the anticipated blood loss? | | Ask the surgeon about anticipated critical events.||☐ What are the critical or non-routine steps?<br>☐ How long will the case take?<br>☐ What is the anticipated blood loss? | ||
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| Ask the nursing team about anticipated critical events.||☐ Has sterility (including indicator results) been confirmed<br>☐ Are there equipment issues or other concerns? | | Ask the nursing team about anticipated critical events.||☐ Has sterility (including indicator results) been confirmed<br>☐ Are there equipment issues or other concerns? | ||
|- | |- | ||
| Is essential imaging displayed?||☐ | | Is essential imaging displayed?||☐ Yes <br>☐ Not applicable | ||
|-bgcolor="MediumAquamarine" | |-bgcolor="MediumAquamarine" | ||
| colspan="2" |'''BEFORE PATIENT LEAVES THE ROOM'''<br>(With nurse, anesthesiologist and surgeon) | | colspan="2" |'''BEFORE PATIENT LEAVES THE ROOM'''<br>(With nurse, anesthesiologist and surgeon) | ||
|- | |- | ||
| Nurse verbally confirms the name of the procedure||☐ | | Nurse verbally confirms the name of the procedure.||☐ Yes | ||
|- | |- | ||
| Nurse verbally confirms completion of instrument, sponge and needle counts||☐ | | Nurse verbally confirms completion of instrument, sponge and needle counts.||☐ Yes | ||
|- | |- | ||
| Nurse verbally confirms specimen labeling (read specimen labels aloud, including the patient's name) ||☐ | | Nurse verbally confirms specimen labeling (read specimen labels aloud, including the patient's name).||☐ Yes | ||
|- | |- | ||
| Nurse verbally confirms whether there are any equipment problems to be addressed ||☐ | | Nurse verbally confirms whether there are any equipment problems to be addressed.||☐ Yes | ||
|- | |- | ||
| The surgeon, anesthesiologist and nurse are inquired about any key concerns for the recovery or the management of the patient||☐ | | The surgeon, anesthesiologist and nurse are inquired about any key concerns for the recovery or the management of the patient.||☐ Yes | ||
|-|} | |-|} | ||
Revision as of 13:34, 4 August 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Rim Halaby
| BEFORE INDUCTION OF ANESTHESIA (With at least nurse and anesthesiologist) | |
| Has the patient confirmed his/her identity, site, procedure and consent? | ☐ Yes |
| Is the site marked? | ☐ Yes ☐ Not applicable |
| Is the anesthesia machine and medication check complete? | ☐ Yes |
| Is the pulse oximeter on the patient and is it working? | ☐ Yes |
| Does a patient have a known allergy? | ☐ No ☐ Yes |
| Does the patient have difficult airway or aspiration risk? | ☐ No ☐ Yes, and equipment/assistance is available |
| Risk of more than 500 ml blood loss (7ml/kg in children)? | ☐ No ☐ Yes, and two IVs/central access fluids are planned |
| BEFORE SKIN INCISION (With nurse, anesthesiologist and surgeon) | |
| Confirm all team members introduced themselves by name and role. | ☐ Yes |
| Confirm the patient's name, procedure, and where the incision will be made. | ☐ Yes |
| Has antibiotic prophylaxis been given within the last 60 minutes? | ☐ Yes ☐ Not applicable |
| Ask the surgeon about anticipated critical events. | ☐ What are the critical or non-routine steps? ☐ How long will the case take? ☐ What is the anticipated blood loss? |
| Ask the anesthesiologist about anticipated critical events. | ☐ Are there any patient-specific concerns? |
| Ask the nursing team about anticipated critical events. | ☐ Has sterility (including indicator results) been confirmed ☐ Are there equipment issues or other concerns? |
| Is essential imaging displayed? | ☐ Yes ☐ Not applicable |
| BEFORE PATIENT LEAVES THE ROOM (With nurse, anesthesiologist and surgeon) | |
| Nurse verbally confirms the name of the procedure. | ☐ Yes |
| Nurse verbally confirms completion of instrument, sponge and needle counts. | ☐ Yes |
| Nurse verbally confirms specimen labeling (read specimen labels aloud, including the patient's name). | ☐ Yes |
| Nurse verbally confirms whether there are any equipment problems to be addressed. | ☐ Yes |
| The surgeon, anesthesiologist and nurse are inquired about any key concerns for the recovery or the management of the patient. | ☐ Yes |