Keeping patients safe in theatre

Question 1

What are the 4 details needed on a patients name tag

Answer 1

Full name
DOB
Hospital number
NHS number

Question 2

What are never events

Answer 2

“never events” are errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients

Question 3

What are the three stages of the WHO surgical safety checklist

Answer 3

Sign in
Time out
Sign out

Question 4

What happens at the debriefing before surgery

Answer 4

Meeting in theatre with all nurses, anaesthetists, theatre support workers

Question 5

What happens at the sign in phase

Answer 5

Checks -

Has patient cnfirmed identity, procedure, consent,
s surgical site marked, does anaesthetist have meds and machine ready, any allergies or breathing risk, is there a bleeding risk

Have everyone introduced themselves by name and role,

Question 6

What are the ASA grades for

Answer 6

Assessing sickness or physical state before giving anaesthetic

Question 7

What do the ASA grades mean individually

Answer 7

ASA1: Healthy
ASA2: Mild systematic disease, no functional limits
ASA3: Severe systematic disease, functional limit but no
ASA4: Severe systematic threat to life
ASA5: Moribund, not expected to last 24hrs

Question 8

WHat happens in time out

Answer 8

Patient details confirmed, surgeon anticipates blood loss, unexpected bits, or equipment

Anaesthetist gives any concerns, asa grade, and says what monitoring equipment is needed

Nurse confirms sterility and equipment issues

SSI bundle confirmed done

Question 9

What happens in sign out

Answer 9

before anyone leaves the room:

Name of procedure recorded
Confirmed instrument, swabs, sharps count complete
SPecimens confirmed labelled
ANy equipment issues?