Process steps

Preoperative measures by nursing staff
  • Patient identification, verification of warning notices, verification of food and fluid orders, verification of antibiotic prophylaxis, etc.
  • Check of pre-OP preparations: removal of dentures, piercings, jewellery, hairpieces, hearing aids and visual aids
  • Check of positioning aids, disinfect if necessary
  • Briefing on fall risk
  • Administration of premedication

Sign-in by nursing staff in the pre-OP area
  • Patient identification
  • Check of surgical site marking and obtained consent
  • Check of equipment and relevant warnings

Sign-in by anaesthetists

  • Patient identification
  • Check of surgical site marking and obtained consent
  • Check of equipment and relevant warnings
  • Review of antibiotic prophylaxis and provision of erythrocyte concentrate
  • Check of 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


  • Check of completeness of surgical textiles/swabs, instruments
  • Labelling of samples
  • Postoperative instructions from surgeon or anaesthetist

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