Surgical Safety checklist
Patient name : Patient ID :
Procedure : Team :
PRE-ANAESTHETIC
Patient name & procedure confirmed Owner consent confirmed IV cannula placed & patent Airway equipment available & functioning ET cuffs checked Anaesthetic machine checked Enough oxygen to support patient Breathing system working & correctly connected Person assigned to monitor patient Risks identified & communicated Emergency interventions available
PRIOR TO CLOSURE
Instrument count Swab count Needle count
POST CLOSURE
All planned procedures performed Mouth packs / rectal swabs removed Assessment & intervention plan confirmed Analgesic plan confirmed
PRE-PROCEDURE
Patient name & procedure confirmed Monitoring equipment attached Depth of anaesthesia appropriate Surgery site prepped Safety concerns communicated Instrument count Swab count Needle count
RECOVERY
Safety concerns communicated Airway Breathing Circulation Body temperature Pain Assessment & intervention plan confirmed Analgesic plan confirmed Person assigned to monitor patient
This work is licensed under a Creative Commons Attribution 4.0 International License . Feel free to share this document with acknowledgment to RCVS Knowledge . This information is provided for use for educational purposes . We do not warrant that information we provide will meet animal health or medical requirements . This work is based on the WHO Surgical Safety Checklist and the AVA Customisable Checklist
Appendix 2 . RCVS Knowlege Surgical Safety Checklist [ 13 ] .
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