note: reduce spacing in turbo mode.
Surgical Safety Checklist
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SUPER FAST Mode
Super Fast TURBO Mode is ON
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No
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Before induction of anaesthesia
1. Has the patient confirmed his/her identity, site, procedure, and consent?
Ensuring patient identity and informed consent are fundamental to patient safety and surgical accuracy.
2. Is the site marked?
Marking the site of surgery helps prevent wrong-site surgeries, a critical aspect of patient care.
3. Is the anaesthesia machine and medication check complete?
Checking anesthesia equipment and medications reduces the risk of equipment failure and drug-related complications.
4. Is the pulse oximeter on the patient and functioning?
The pulse oximeter monitors oxygen saturation, a vital sign during anesthesia and surgery.
5. Does the patient have a known allergy?
Identifying allergies prevents adverse reactions to medications or materials used during surgery.
6. Does the patient have a difficult airway or aspiration risk?
Awareness of airway and aspiration risks guides anesthesia strategies to ensure patient safety.
7. Is there a risk of >500ml blood loss (7ml/kg in children)?
Anticipating significant blood loss allows the team to prepare for potential transfusions and manage patient hemodynamics effectively.
Before skin incision
8. Confirm all team members have introduced themselves by name and role.
Introductions enhance team communication and collaboration, which are crucial for surgical safety.
9. Confirm the patient’s name, procedure, and where the incision will be made.
Reconfirming these details helps prevent errors and ensures the right patient is undergoing the correct procedure.
10. Has antibiotic prophylaxis been given within the last 60 minutes?
Timely antibiotic administration is key to preventing surgical site infections.
11. To Surgeon: What are the critical or non-routine steps?
Discussing critical steps prepares the team for complex or unusual aspects of the surgery.
12. To Surgeon: How long will the case take?
Estimating the duration helps in planning and resource allocation for the surgery.
13. To Surgeon: What is the anticipated blood loss?
Anticipating blood loss allows for better preparation, including arranging for blood transfusions if necessary.
14. To Anaesthetist: Are there any patient-specific concerns?
Identifying patient-specific concerns allows the anaesthetist to adjust the anesthesia plan accordingly.
15. To Nursing Team: Has sterility (including indicator results) been confirmed?
Confirming sterility is essential to prevent infections and maintain a safe surgical environment.
16. To Nursing Team: Are there equipment issues or any concerns?
Addressing equipment issues before the procedure begins is crucial to avoid disruptions and maintain safety.
17. Is essential imaging displayed?
Displaying essential imaging ensures that the surgical team has all necessary information readily available during the procedure.
Before patient leaves operating room
18. Nurse Verbally Confirms: The name of the procedure.
This verbal confirmation helps ensure the accuracy and completeness of the surgical procedure.
19. Nurse Verbally Confirms: Completion of instrument, sponge, and needle counts.
Accurate counts prevent the retention of surgical items in the patient, a critical safety measure.
20. Nurse Verbally Confirms: Specimen labelling (read specimen labels aloud including patient name).
Correct specimen labeling ensures accurate identification and diagnosis post-surgery.
21. Nurse Verbally Confirms: Whether there are any equipment problems to be addressed.
Identifying and addressing equipment issues before leaving the operating room is essential for patient safety and future surgical procedures.
22. To Surgeon, Anaesthetist, and Nurse: What are the key concerns for recovery and management of this patient?
Discussing key concerns for recovery and patient management post-surgery ensures continuity of care and prepares the team for potential complications.