Transcript Implementation of a Surgical Safety Check List - Cyber

IMPLEMENTATION OF A
SURGICAL SAFETY CHECK LIST
Cyber-Sight Nurse Education Course
(Modified for lecture use by Heather Machin, RN)
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 in
As 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
[email protected]
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