Process steps
Preoperative measures by nursing staff
- Patient identification, checking warning notices, checking food and fluid arrangements, checking antibiotic prophylaxis, etc.
- Check preparatory work: removal of dentures, piercings, jewellery, hairpieces, hearing aids and visual aids.
- Check storage aids, disinfect if necessary.
- Information about the risk of falling.
- Administration of premedication.
Sign-in by nursing staff in the pre-OP area
- Patient identification.
- Check whether the surgical site is marked and surgical consent has been obtained.
- Checking the equipment and relevant warnings.
Sign-in by anaesthetists
- Patient identification.
- Check whether the surgical site is marked and anaesthesia consent is available.
- Checking the equipment and relevant warnings.
- Review of antibiotic prophylaxis and provision of erythrocyte concentrate.
- Check respiratory tracts and aspiration risk.
Team time-out
- Patient identification.
- Information about the type of operation.
- Examination of the surgical site, patient positioning, warnings, antibiotic prophylaxis.
- Special features and equipment.
- Necessity of imaging procedures.
Sign-out
- Checking surgical textiles/tamponades for completeness.
- Instruments, labelling of samples.
- Postoperative instructions from the surgeon or anaesthetist.
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