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PEARLS & PITFALLS – SURGICAL TECHNIQUE

SURGICAL SAFETY CHECKLIST

ROOM PREPARATION
CIRCULATOR AND SCRUB CONFIRM

Latex allergy/precautions?
Yes No
Betadine allergy? Yes No

Equipment Yes

Supplies Yes N/ A
Instrumentation Yes N/ A

Implants Yes N/ A

Allograft
Yes N/A
Yes N/A
patient’s ID?

Yes N/A Blood, Type and Screen or Type and Cross

Yes N/A Anti-venous thromboembolism compression available?
Yes N/A
Spinal Cord Monitoring

NURSE AND ATTENDING ANESTHESIOLOGIST
ANESTHESIA TIME OUT

Please stop everything for the ANESTHESIA TIMEOUT!

The patient’s name is and the procedure is /site= .
Do you anticipate any special anesthetic needs? (yes/no)

The patient is allergic to

Is this the appropriate time to administer antibiotics?

The surgical site has been marked. (yes/no)
What is the anesthetic plan and site of block (if applicable)
.

The blood products available are
(or state not applicable).

Final step: dispense block needle (if applicable) and stay with patient until block is initiated.

SURGICAL TIME OUT NURSE INITIATES WITH ATTENDING SURGEON

PRESENT BEFORE SKIN INCISION

Please stop everything for the TIMEOUT!
Team members introduce themselves by name and role

The patient’s name is and the procedure is
/site= .

Has the site been marked? (yes/no)

The radiological studies open are for ?
The implant system or special equipment for this case is .

Is the tourniquet (if applicable) functioning and connected? (yes/no)

Has the initial count been done? (yes/no)
Have antibiotics been given within the last 60 minutes? (yes/no)

The blood products available are
(or state not applicable).

SIGN OUT
NURSE INITIATES BEFORE SURGEON LEAVES
OPERATING ROOM

Time for sign out/debriefing!

The procedure was
.
The specimens are
?

The first closure count was correct? (yes/no)

Was there any equipment or instrument problems?

Are there any post op concerns including DVT prophylaxis?

Color Code: CIRCULATOR AND SCRUB CONFIRM
NURSE AND ATTENDING ANESTHESIOLOGIST
ATTENDING SURGEON MUST BE PRESENT
ISAKOS NEWSLETTER 2013: Volume II
39
03/21/2011