Confirm all team members have introduced
themselves by name and role.
Patient confirms his/her identity, site,
procedure, and informed consent signed. Surgical site marked by surgeon as
indicated. Patient
information confirmed: - Pre-operative
questionnaire
- Old chart as indicated
- Pre-operative labs
- Glycemic control as indicated
- Pre-operative pathology
- Communicate anticipated critical events
- Allergies
- Antibiotic prophylaxis
If applicable review below:
- DVT
prophylaxis-anticoagulant/mechanical
- Essential imaging displayed and confirm intraop.
imaging as indicated
| Service-specific positioning and support,
and expected procedure duration. Equipment sterility and needs established
(e.g. implants). Confirm availability of intraop.
frozen section as indicated. Monitoring (SpO2, BP, ECG, central +/-
arterial line, temp., foley, etc. as indicated). Anesthesia equipment safety check
completed. Healthy (ASA 1) If applicable review below: - ASA
- Difficult airway or aspiration risk
identified
- Risk of >500ml blood loss (7ml/kg in
children) identified and blood products available as indicated
| Carry out a surgical pause: - Patient’s
name
- Planned
procedure
- Surgical
site
- “Does
anyone have any other questions or concerns before proceeding?
| Nurse confirms: - Completion of instrument, sponge and needle counts
- Specimen labelling (read specimen labels aloud, including patient name) and visualize specimen in container
- Unanticipated events
- Confirm post-operative destination
and status - “Could anything have been done to make this case safer or more efficient?”
Surgeon/nurse confirms: - Procedure
- Important intraop. events
- Estimated blood loss
- Important intraop. events
- Recovery plans (i.e. postop.
ventilation, pain management, fluid balance/management)
- Estimated blood loss
|
