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Title:

Implementation of a Surgical Safety Check List

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Title: Implementation of a Surgical Safety Check List Author: Ehelveston Last modified by: Erin Hemmelgarn Created Date: 4/20/2010 12:53:05 PM Document presentation ... – PowerPoint PPT presentation

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Title: Implementation of a Surgical Safety Check List


1
Implementation of a Surgical Safety Check List
  • Cyber-Sight Nurse Education Course
  • (Modified for lecture use by Heather Machin, RN)

2
At the end of this presentation you should know
  • lt The components of the check list
  • lt Who is responsible for implementation parts
    of the checklist
  • lt Potential points of conflict and how to
    avoid and/ or resolve them
  • lt How to use the checklist
  • lt Value to be derived from use of the
    checklist

3
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.
4
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

5
A set of Safety Checks has been assembled to
reduce the number and severity of adverse events
involving
  • Surgeons
  • Anesthesiologists
  • Nurses
  • Public health experts

6
3 Components of the Check
  • Sign In
  • Time Out
  • Sign Out

7
Components of the Checklist 1
  • Patient identity confirmed
  • Site marked
  • Anesthesia safety check
  • Allergy
  • Airway and pulse oximeter if general anesthesia
  • Prosthesis and surgical needs
  • Sign in
  • As the patient enters the room and before
    induction of anesthesia

8
Components of the Checklist 2
  • Identify/introduce team
  • Team verbally confirms patient site, procedures/
    allergy
  • Surgeon/review critical steps
  • Anesthesia/concerns?
  • Nurse/sterility and special instruments, sutures,
    medicines
  • Time out
  • Before the start of surgical intervention

9
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

10
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?

11
Quiz
  • Sign in, time out, and sign out are the major
    components of the checklist? T F
  • You dont have to check allergies before surgery?
    T F
  • Who is responsible for the safe surgery check?

12
Questions
  • Heather Machin, RN
  • ORBIS International
  • Heather.machin_at_orbis.org
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