Cyber-Sight Nurse Education Course (Modified for lecture use by Heather Machin, RN)

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At the end of this presentation you should know:

The components of the check list Who is responsible for

implementation parts of the checklist

Potential points of conflict and how to avoid and/ or resolve them

How to use the checklist Value to be derived from use of the

checklist

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Why this checklist in the operating room?

In order for a surgical procedure to be completed successfully a team must work together to ensure that all of the required components are accounted for and working.

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Safe Site Surgery will help the surgical team to avoid:

Surgical deaths and errors The adverse legal issues Surgical infection Poor communication among

surgical team members

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A set of Safety Checks has been assembled to reduce the number and severity of adverse events involving:

Surgeons Anesthesiologists Nurses Public health experts

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3 Components of the Check

Sign In

Time Out

Sign Out

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Components of the Checklist 1

Sign inAs the patient enters

the room and before induction of

anesthesia

Patient identity confirmed

Site marked Anesthesia safety check Allergy Airway and pulse

oximeter if general anesthesia

Prosthesis and surgical needs

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Components of the Checklist 2

Time out

Before the start of surgical

intervention

Identify/introduce team

Team verbally confirms patient site, procedures/ allergy

Surgeon/review critical steps

Anesthesia/concerns? Nurse/sterility and

special instruments, sutures, medicines

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Components of the Checklist 3

Sign out To be completed before the patient

leaves the operating room:

Documentation Surgical instrument

and sponges account Specimen (if any)

labeled Equipment

problems? Review any concerns

for recovery Team reviews key

concerns

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Some important considerations for the

nurse Is the patient fasting (Nil Per Oral – NPO)? When did the patient eat last?

Is the necessary imaging displayed? Are the surgical items that you have

“pulled” what the surgeon needs? Do you need to check with the surgeon first?

Is the patient situated on the table without unnecessary pressure that could cause nerve damage? How long will the procedure take?

Are all members of the team ready to start?

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Quiz

Sign in, time out, and sign out are the major components of the checklist? T F

You don’t have to check allergies before surgery? T F

Who is responsible for the safe surgery check?

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Questions

Heather Machin, RN

ORBIS International

Heather.machin@orbis.org