- Guideline - WHO checklist
Link:www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Checklist_finalJun08.pdf
- Organisation requirements
- Executive and clinical lead identified to implement the checklist
- Ensure it is completed for every patient undergoing surgical procedures (including LA)
- Ensure it is recorded in the clinical notes by registered member of the team
- Steps
- Sign in (pre-induction)
- Confirmed site, procedure and site
- Marked?
- Machine and medicine checked?
- Known allergy?
- Difficult airway/aspiration risk?
- Risk of >500ml blood loss?
- Steps
- Time out (pre-incision)
- All team members introduced themselves
- Patients name
- Procedure, site and position
- Surgeon
- Blood loss
- Specific equipment or special investigations
- Unexpected steps?
- Anaesthetist
- Specific patient concerns
- ASA
- Monitoring equipment and other levels of support?
- Nurse
- Sterility confirmed?
- Equipment issues or concerns?
- SSI Bundle
- Warming
- ABx
- Glucose control
- Hair removal
- VTE prophylaxis?
- Essential imaging displayed?
- Sign out (before transfer to recovery)
- Name of procedure recorded?
- Instruments, sharps and swabs complete?
- Specimens labelled?
- Equipment problems identified which need addressing?
- Key concerns for recovery and management?