Surgical Safety Check List

SURGICAL SAFETY CHECK LIST  THEATER  SIGN

IN  TIME OUT  SIGN OUT

BRIEFING

THEATER BRIEFING  THEATRE

TEAM MUST DISCUSS THE OPERATION LIST BEFOR STARTING THE OPERATIOS.

SIGN IN

NURSE CHECKS THE PATIENT  Surgical

Ward Nurse:  Escorts the patient to the Operation Theatre and handing over the patient to the theatre nurse.  Does your patient and relatives knows what kind of surgery he is undergoing? –

In case of doubt Ask question and clarify with appropriate authority.

The checks must be performed  

by nurse before sending the patient is : Right Patient. –

 

Check name, age, sex, diagnosis, registration no. admission date etc.

Type of Operation: ie hernia, appendectomy, etc… Routine investigation required for operation ie. ECG, CBC, Chest X ray, blood urea, Serum creatine, blood group cross match..etc..

The checks must be performed  

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Written consent for anesthesia and operation. Must check whether patient is examined by anesthetist and surgeon, any allergies, medication, or chronic illness, Physical procedures ie hair care, bathing, enema, Operation site preparation and marking. Shaving and wrapping surgical site. Vital sign check up and compares with previous data. Inform for unusual or alteration in vital sings. Pre op medication orders.

IMMEDIATELY BEFORE INDUCTION / ANESTHESIA  What

is your role ?

ANESTHETIST performs the check on      

Written consent for anesthesia and operation both signed by patient or relatives. Surgical site marking, Ward checks completed. Allergies and pre operative medication, check list completed. Anesthesia equipment check completed Team members check on additional medical equipment required for surgery

TIME OUT  Surgeon,

anesthetist, scrubbed nurse check the consent and surgical site.  Discuss the operation steps in brief:

Time out 

   

Anesthetists: Introduce the patient, General Condition, any points that cause patients lif in danger, decision on anesthesia druds, doses, etc. Surgeon: Review the whole case for changes in operative decision, steps and unusual symptom. Scrubbed nurse: checks the availability of instruments gauze and pads, mops, on the trolley, Circulatory nurse: checks for all medical equipments are ready to use and make sure that everything is in order.

Time out  Confirm

that:  all medication is ready to give,  All images are displayed or seen.  Are there any new team members? Does he know the rules and polices procedure in operatin theatre.

SIGN OUT      

After completion of surgery: Circulatory nurse performs the check on: Confirms swab, instrument and needle counts are correct. Confirms all specimens taken during the surgery are labeled correctly. Any equipment failures or issues that should be addressed, Surgeon, anesthetist, nurse review the post operative plan