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Medications Laboratory work Hemodynamics Position/ROM Comfort

.• The checklist covers 3 phases of a surgical procedure: Before anesthesia is induced or "Sign In" Before skin incision or "Time Out" Before the patient leaves the operating room or “Sign Out".

If so. document it (2) If anticipating an anatomically difficult airway to intubate or aspiration risk get additional equipment and assistance should be available.• Before anesthesia . antibiotics .use mnemonic "Sign In" Check to see if the patient has (1) Any known allergy e.g. .

• (3) If there is a risk of losing more than more than 500-mL of blood in adults or 7 mL/kg in children – ensure that there is adequate intravenous access and fluids or reserve blood . .

2. familiarity with roles during surgery and anticipating critical events are the key components: 1. The surgeon. surgical site. Ensure all team members have introduced themselves both by name and by their role on the surgical team. anesthesia professional. . and procedure to be performed. and nurse should verbally confirm the patient's identity.• Before Incision or the checklist use the mnemonic "Time Out" Introduction.

. 4. and anticipated blood loss.• 3. Anticipated critical events to be reviewed by the anesthesia team are whether there are any patient-specific concerns. estimated operative duration. Anticipated critical events to be reviewed by the surgeon are any critical or unexpected steps.

a.if applicable .• 5. documentation and discussion of any equipment issues or concerns. whether antibiotic prophylaxis has been given within the last 60 minutes . b. Anticipated critical events to be reviewed by the nursing team are confirmation of sterility of the tools. and field (including indicator results). supplies.

and whether essential imaging is displayed . Before Patient Leaves Operating Room uses the mnemonic "Sign Out" Check for the following components -1.if applicable. The nurse verbally confirms with the team the name of the procedure to be recorded .• c.

if applicable 3.• 2. sponge. . including patient name 4. anesthesia professional and nurse should review the key concerns regarding recovery and management of the specific patient. Labeling for the surgical specimen. The surgeon. and needle counts . The nurse verifies instrument. Whether there are any equipment problems to be addressed 5.

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