Anaesthetic Safety Checklist
Pre-Induction
Patient NAME , owner CONSENT & PROCEDURE confirmed IV CANNULA placed & patent AIRWAY EQUIPMENT available & functioning Endotracheal tube CUFFS checked ANAESTHETIC MACHINE checked today Adequate OXYGEN for proposed procedure BREATHING SYSTEM connected , leak free & APL VALVE OPEN Person assigned to MONITOR patient RISKS identified & COMMUNICATED EMERGENCY INTERVENTIONS available
Pre-Procedure — Time Out
Patient NAME & PROCEDURE confirmed DEPTH of anaesthesia appropriate SAFETY CONCERNS COMMUNICATED
Recovery
SAFETY CONCERNS COMMUNICATED Airway , Breathing , Circulation ( fluid balance ), Body Temperature , Pain ASSESSMENT & INTERVENTION PLAN confirmed ANALGESIC PLAN confirmed Person assigned to MONITOR patient
This checklist was written by the AVA with design and distribution support from
Appendix 1 . AVA Aaesthetic Safety Checklist [ 12 ] ( continued on next page ).
56 Veterinary Nursing Journal