WHO has developed a simple checklist for ensuring surgical safety There are only 19 questions to go surgical safety. There are only 19 questions to go

through at 3 different times-before anesthesia, before the first skin incision, and before the patient before the first skin incision, and before the patient leaves the waiting room. The following slideshow

will show them in detail.

Has the patient confirmed his/her identity, Site, procedure, and consent?

YesIs the site marked?

YesNot applicable

Y

-Cont.-

Is the anesthesia machine and medication check complete?

YesIs the pulse oximeter on the patient and functioning?

YesDoes the patient have a known allergy?

YesNo

Difficult airway or aspiration risk?Difficult airway or aspiration risk?NoYes and equipment/assistance availableYes, and equipment/assistance available

Risk of >500ml blood loss (7ml/kg in Risk of >500ml blood loss (7ml/kg in children)?

NoNoYes, and two IVs/ Central access and fluids

planned.planned.

Confirm all team members have introduced themselves by name and role.Confirm the patient’s name, procedure, and where the incision will be madethe incision will be made.Has antibiotic prophylaxis been given within the last 60 minutes?

YesNot applicable

Anticipated Critical EventsC t-Cont.-

To Surgeon:To Surgeon:What are the critical or non-routine steps?How long will the case take?How long will the case take?What is the anticipated blood loss?

To Anesthetist:Are there any patient specific concerns?Are there any patient-specific concerns?

-Cont.-

To Nursing Team:To Nursing Team:Has sterility (including indicator results)

been confirmed?Are there equipment issues or any concerns?

Is essential imaging displayed?Is essential imaging displayed?YesNot ApplicableNot Applicable

Nurse Verbally Confirms:Nurse Verbally Confirms:The name of the procedureCompletion of instrument sponge and Completion of instrument, sponge and

needle countsSpecimen labeling (read specimen labels Specimen labeling (read specimen labels

aloud, including patient name)Whether there are any equipment problems y q p p

to be addressed -Cont.-

To Surgeon, Anesthetist and Nurse:To Surgeon, Anesthetist and Nurse:What are the key concerns for recovery and management of this patient?g p