Transcription of Checklist only:Layout 1 - WHO
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Checklist only:Layout 1 - WHO
PATIENT HAS CONFIRMED IDENTITY SITE PROCEDURE CONSENTSITE MARKED/NOT APPLICABLEANAESTHESIA SAFETY CHECK COMPLETEDPULSE OXIMETER ON PATIENT AND FUNCTIONINGDOES PATIENT HAVE A:KNOWN ALLERGY?NOYESDIFFICULT AIRWAY/ASPIRATION RISK?NOYES, AND EQUIPMENT/ASSISTANCE AVAILABLERISK OF >500ML BLOOD LOSS (7ML/KG IN CHILDREN)?NOYES, AND ADEQUATE INTRAVENOUS ACCESS AND FLUIDS PLANNEDNURSE VERBALLY CONFIRMS WITH THETEAM:THE NAME OF THE PROCEDURE RECORDEDTHAT INSTRUMENT, SPONGE AND NEEDLECOUNTS ARE CORRECT (OR NOTAPPLICABLE)HOW THE SPECIMEN IS LABELLED(INCLUDING PATIENT NAME)WHETHER THERE ARE ANY EQUIPMENTPROBLEMS TO BE ADDRESSEDSURGEON, ANAESTHESIA PROFESSIONALAND NURSE REVIEW THE KEY CONCERNSFOR RECOVERY AND MANAGEMENT OF THIS PATIENTSIGN INCONFIRM ALL TEAM MEMBERS HAVEINTRODUCED THEMSELVES BY NAME ANDROLESURGEON, ANAESTHESIA PROFESSIONALAND NURSE VERBALLY CONFIRM PATIENT SITE PROCEDUREANTICIPATED CRITICAL EVENTSSURGEON REVIEWS: WHAT ARE THECRITICAL OR UNEXPECTED STEPS,OPERATIVE DURATION, ANTICIPATEDBLOOD LOSS?
patient has confirmed † identity † site † procedure † consent site marked/not applicable anaesthesia safety check completed pulse oximeter on …
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