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دليل السياسات والإجراءات في غرفة العمليات
→ F-OT-02
F-OT-04 ←
🏠 البوابة
الرئيسية
📋 جدول المحتويات
📚 الأقسام
🏠 البوابة
الرئيسية
📋 محتويات
📚 الأقسام
→ F-OT-02
F-OT-04 ←
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General Hospital • Operating Theatre
Safe Surgery Checklist (WHO)
F-OT-03
Patient Name
MRN
Date
Proposed Procedure
Surgeon
Anesthetist
Sign In
Before induction of anesthesia
Patient has confirmed:
• Identity • Site • Procedure • Consent
Site marked
Yes
Not Applicable
Anesthesia machine and medication check complete
Pulse oximeter on patient and functioning
Does the patient have a known allergy?
No
Yes
Difficult airway or aspiration risk?
No
Yes, equipment/assistance available
Risk of >500ml blood loss (7ml/kg in children)?
No
Yes, two IVs/central access & fluids planned
Time Out
Before skin incision
Confirm all team members have introduced themselves by name and role.
Surgeon, Anesthesia Professional and Nurse verbally confirm:
• Patient • Site • Procedure
Anticipated Critical Events
To Surgeon:
What are the critical or non-routine steps?
How long will the case take?
What is the anticipated blood loss?
To Anesthetist:
Are there any patient-specific concerns?
To Nursing Team:
Has sterility (including indicator results) been confirmed?
Are there equipment issues or any concerns?
Has antibiotic prophylaxis been given within the last 60 minutes?
Yes
Not Applicable
Is essential imaging displayed?
Yes
Not Applicable
Sign Out
Before patient leaves operating room
Nurse Verbally Confirms:
The name of the procedure recorded
Completion of instrument, sponge and needle counts
Specimen labeling (read specimen labels aloud, including patient name)
Whether there are any equipment problems to be addressed
To Surgeon, Anesthetist and Nurse:
What are the key concerns for recovery and management of this patient?
Key Concerns / Recovery Notes:
Sign In Verification (Nurse / Anesthetist)
Time Out Verification (Surgeon / Nurse)
Sign Out Verification (Nurse / Surgeon)