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  • SINS Checklist OR

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    Apple Tree
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    SINS checklist OR

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    7 views1 page

    SINS Checklist OR

    Uploaded by

    Apple Tree

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Before Skin Incision (time out) Before closure of peritoneum Before final closure of subq

    Sponges: Sponges: Sponges:


     Abdominal pack: ____  Abdominal pack: ____  Abdominal pack: ____
     Sterile strip: ____  Sterile strip: ____  Sterile strip: ____

    Instruments: Instruments: Instruments:


    Mayo table: Mayo table: Mayo table:
     Mosquito curved: ____  Mosquito curved: ____  Mosquito curved: ____
     Kelly curved: ____  Kelly curved: ____  Kelly curved: ____
     Pean curved: ____  Pean curved: ____  Pean curved: ____
     Allis curved: ____  Allis curved: ____  Allis curved: ____
     Scalpel: ____  Scalpel: ____  Scalpel: ____
     Metzenmbaum  Metzenmbaum  Metzenmbaum
    scissors: ____ scissors: ____ scissors: ____
     Mayo scissors: ____  Mayo scissors: ____  Mayo scissors: ____
     Suture/ straight  Suture/ straight  Suture/ straight
    scissors: ____ scissors: ____ scissors: ____
     Toothless thumb  Toothless thumb  Toothless thumb
    forceps: ____ forceps: ____ forceps: ____
     Toothed tissue  Toothed tissue  Toothed tissue
    forceps: ____ forceps: ____ forceps: ____

    Lap table: Lap table: Lap table:


     Towel clips or  Towel clips or  Towel clips or
    clamps: ____ clamps: ____ clamps: ____
     Babcocks: ____  Babcocks: ____  Babcocks: ____
     Needle holder: ____  Needle holder: ____  Needle holder: ____
     Straight Kelly: ____  Straight Kelly: ____  Straight Kelly: ____
     Straight Pean: ____  Straight Pean: ____  Straight Pean: ____
     Ovum forceps: ____  Ovum forceps: ____  Ovum forceps: ____
     Army navy retractor: ____  Army navy retractor: ____  Army navy retractor: ____
     Richardson  Richardson  Richardson
    one-ended : ____ one-ended : ____ one-ended : ____
     Richardson  Richardson  Richardson
    double-ended: ____ double-ended: ____ double-ended: ____

    Needles & sutures Needles & sutures Needles & sutures


      
      
      

    “SINS counted & complete/incomplete”

    HALT

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