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PatientName:


Beforeinduction of anesthesia (maybedonebeforeOR entry)


Has the patient confirmedhis/her identity, site, procedure,andconsent? Yes


Is the sitemarked? Yes N/A


Anesthesia provider Anesthesia safety check completed


Difficult airwayor aspiration? Yes No


Are thereany anesthesia specific concerns?


_____________________________________ Riskof>10%bloodvolume loss? Yes, and two IVs/central access and fluids planned


No


Is venous thromboembolismprophylaxis needed? Yes, and boots/


Yes, type and screen ordered? N/A N/A


anticoagulants in place Surgeon: What implants/equipment areneeded?


_____________________________________ Nursing Team: Are there equipment issues orany concerns? Yes N/A


_____________________________________ Is essential imaging displayed/PACS/C-arm available? Yes N/A


BEFORE INDUCTION check complete


ProcedureScheduled: Beforeskin incision


Circulator–TIMEOUT! Weneedtodoa timeout.


FIRE RISK Score documented? Yes


Has sterility (includingindicator results)beenconfirmed? Yes


Surgeon, anesthesia andnurse: What is the patient’s name? What procedure is planned? Is the patient in the correct position?


Circulator toSurgeon: Howlongwill the case last? What is the anticipated blood loss? Are there any critical steps?


Does the patienthave a knownallergy? Yes No


Has antibiotic prophylaxis been givenwithin the last 60 minutes? Yes N/A


Doesanyonehaveany concerns? Yes No


______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________


BEFORE SKIN INCISON check complete


Checklist based onW.HO. Surgical Safety Checklist (First Edition), from theW.H.O. ImplementationManual June 2008. All reasonable precautions have been taken by theWorld Health Organization and Healthcare Inspirations to verify the information contained in this checklist. However, the pub- lished material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall theWorld Health Organization or Healthcare Inspirations be liable for damages arising from its use.


Raytec: Lap sponges: Needles: Blades: Kittners: Hypodermics: Cautery tips:


BEFORE LEAVING ROOMcheck complete ©Healthcare Inspirations. All rights reserved. To order, (877) 646-5877 • HealthcareInspirations.com


Diet Nothing by Mouth Beforepatient leaves room


Nurse verbally requests fromthe team: Howshall I record the name of the procedure? Howshall I label the specimens (including patient name)?


To surgeon, anesthetist andnurse: What are the key concerns for recovery and management of this patient?


Are any equipment problems to be addressed? Is there anything thatwe could have done better? Debrief formcompleted, if indicated?


Are the instrument, spongeand needle counts complete/correct?


12 3


Regular Full Liquid Clear Liquid


Activity Level


Independent Walker Stand by


Lift Equipment 1 Person


2 Person


Samples Needed Random


24 Hour C.diff Sputum 36”x 24” TopperOverlay Surgical Safety Checklist 11”x 17” TopperOverlay


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O.B. Wound


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Diabetic Dysphagia Soft


No Exceptions Except Meds Except Ice Except Sips


Spinal Precaution


Full Spinal C-spine


C-spine cleared with collar


T-spine Precaution


PatientAlerts


24”x 18” shown in Cherrywood, 1-1/4” profile


Rehabilitation


Learnmore at HealthcareInspirations.com 25


SURGICAL SAFETYCHECKLIST


Other


Stool


Urine


Stop Start


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