Presentation on theme: "Cyber-Sight Nurse Education Course (Modified for lecture use by Heather Machin, RN)"— Presentation transcript:
Cyber-Sight Nurse Education Course (Modified for lecture use by Heather Machin, RN)
2 of 12 At the end of this presentation you should know: The components of the check list Who is responsible for implementation parts of the checklist Potential points of conflict and how to avoid and/ or resolve them How to use the checklist Value to be derived from use of the checklist
3 of 12 Why this checklist in the operating room? In order for a surgical procedure to be completed successfully a team must work together to ensure that all of the required components are accounted for and working.
4 of 12 Safe Site Surgery will help the surgical team to avoid: Surgical deaths and errors The adverse legal issues Surgical infection Poor communication among surgical team members
5 of 12 A set of Safety Checks has been assembled to reduce the number and severity of adverse events involving: Surgeons Anesthesiologists Nurses Public health experts
6 of 12 3 Components of the Check Sign In Time Out Sign Out
7 of 12 Components of the Checklist 1 Sign in As the patient enters the room and before induction of anesthesia Patient identity confirmed Site marked Anesthesia safety check Allergy Airway and pulse oximeter if general anesthesia Prosthesis and surgical needs
8 of 12 Components of the Checklist 2 Time out Before the start of surgical intervention Identify/introduce team Team verbally confirms patient site, procedures/ allergy Surgeon/review critical steps Anesthesia/concerns? Nurse/sterility and special instruments, sutures, medicines
9 of 12 Components of the Checklist 3 Sign out To be completed before the patient leaves the operating room: Documentation Surgical instrument and sponges account Specimen (if any) labeled Equipment problems? Review any concerns for recovery Team reviews key concerns
10 of 12 Some important considerations for the nurse Is the patient fasting (Nil Per Oral – NPO)? When did the patient eat last? Is the necessary imaging displayed? Are the surgical items that you have pulled what the surgeon needs? Do you need to check with the surgeon first? Is the patient situated on the table without unnecessary pressure that could cause nerve damage? How long will the procedure take? Are all members of the team ready to start?
11 of 12 Quiz Sign in, time out, and sign out are the major components of the checklist? T F You dont have to check allergies before surgery? T F Who is responsible for the safe surgery check?
12 of 12 Questions Heather Machin, RN ORBIS International