ISCE Station 3: Perioperative Communication/ 8 Steps to Safer Surgery

Question 1

Sign in- Why is it important to introduce yourself and role to the patient?

Question 2

Sign in- Why is it important to check the ID?

Answer 2

Make sure we have the right patient on the operating table and details are correct on the system and on labels for specimens

Question 3

Sign in- Why is it important to check site of surgery?

Question 4

Sign in- Why is it important to check allergies?

Question 5

Sign in- Why should the pulse oximeter be placed and checked at this stage?

Question 6

Sign in- Why should you discuss airway/ aspiration requirements?

Question 7

Sign in- Why should blood loss be discussed at this stage?

Question 8

Time out- Why is it important for the team to introduce themselves by name and role?

Question 9

Time out- Why is it important to check the ID of patient?

Question 10

Time out- Why is it important to check the site of surgery?

Question 11

Time out- Why is it important to confirm the procedure?

Question 12

Time out- Why is it important to ask the surgeon about unexpected steps, surgery duration and blood loss?

Question 13

Time out- Why should you ask the anaesthetist about any patient specific concerns?

Question 14

Time out- Why should you ask the scrub practitioner if sterility is confirmed and there are any equipment issues?

Question 15

Sign out- Why is it important to confirm the name of the procedure?

Question 16

Sign out- Why is it important to check the instruments, swabs and sharps count are correct?

Answer 16

To make sure the nothing has been left inside the patient and everything is accounted for. If the count is incorrect patient should be sent to x-ray or the incision site to be reopened.

Question 17

Sign out- Why is it important to check if all specimens are labelled correctly?

Question 18

Sign out- Why is it important to check if there are any equipment issues?

Question 19

Sign out- Why is it important to discuss the recovery and management of the patient?