Surgical Safety Checklist

Question 1

What are the four phases of the surgical safety checklist?

Answer 1

Sign in
Time out
Surgical pause
Sign out

Question 2

What is the sign in phase?

Answer 2

Before induction of anesthesia

Is anesthesia equipment safety check complete
Pt confirmed for allergies, procedure, site, consents, identity

Is site marked?
Anesthesia have everything required?
Pulse ox functioning?
Clinical tests need review?

Question 3

Who is present for sign in?

Answer 3

Nursing and anesthesia

Question 4

What is the time out phase? Who is present?

Answer 4

After induction of anesthesia

All team members know each other?
All three surgeon nurse and anesth confirmed pt id, procedure, allergies?
Abx given within 60 mins of incision time?
Essential imaging displayed
Anyone have specific pt concerns
Correct position
Surgical prep dry?
Vtr prophylaxis req?
Sig blood loss anticipated? - products available?
Expected procedure time?
Icu bed required?

Surgeon Anes and nursing present

Question 5

What is the surgical pause phase?

Answer 5

Immediately before incision

All 3 confirmed site and marking visible?

Question 6

Why is the sign out phase?

Answer 6

Before pt leaves OR

Team reviewed procedure preformed is recorded?
Counts complete?
Specimen labeled and correct?
Any Imp intraoperative events?
Anything that cod have made safer?
Reviewed fluid balance management?