of the Surgical Safety Checklist
of anaesthesia, members of the team (at least the nurse and an anaesthesia
professional) orally confirm that:
The patient has verified his or her identity,
the surgical site and procedure, and consent.
The surgical site is marked or site
marking is not applicable.
The pulse oximeter is on the patient and functioning.
All members of the team are aware of whether the patient has a
The patient’s airway and risk of aspiration have been evaluated
and appropriate equipment and assistance are available
If there is a risk of blood loss of at least 500 ml (or 7 ml/kg
of body weight, in children), appropriate access and fluids are
Before skin incision, the entire team (nurses, surgeons,
anaesthesia professionals, and any others participating in the care
of the patient) orally:
Confirms that all team members have been
introduced by name and role.
Confirms the patient’s identity, surgical site, and procedure.
Reviews the anticipated critical events.
Surgeon reviews critical and unexpected steps, operative duration,
and anticipated blood loss.
Anaesthesia staff review concerns specific to the patient.
Nursing staff review confirmation of sterility, equipment availability,
and other concerns.
Confirms that prophylactic antibiotics have been administered
=60 min before incision is made or that antibiotics are not indicated.
Confirms that all essential imaging results for the correct patient
are displayed in the operating room.
Before the patient leaves the operating room:
Nurse reviews items aloud with the team.
Name of the procedure as recorded.
That the needle, sponge, and instrument counts are complete (or
That the specimen (if any) is correctly labelled, including with
the patient’s name.
Whether there are any issues with equipment to be addressed.
The surgeon, nurse, and anaesthesia professional review aloud
the key concerns for the recovery and care of the patient.
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