cyber-sight nurse education course (modified for lecture use by heather machin, rn)
TRANSCRIPT
Cyber-Sight Nurse Education Course (Modified for lecture use by Heather Machin, RN)
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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
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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.
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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
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A set of Safety Checks has been assembled to reduce the number and severity of adverse events involving:
Surgeons Anesthesiologists Nurses Public health experts
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3 Components of the Check
Sign In
Time Out
Sign Out
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Components of the Checklist 1
Sign inAs 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
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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
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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
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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?
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Quiz
Sign in, time out, and sign out are the major components of the checklist? T F
You don’t have to check allergies before surgery? T F
Who is responsible for the safe surgery check?
