1. Pre-Procedure Verification
This involves verifying the patient's identity, medical history, allergies, and current medications. The surgical team must also confirm the correct procedure, and surgical site, and ensure that all necessary equipment and supplies are available.
2. Marking the Procedure Site
This involves physically marking the patient's body at the intended surgical site to avoid confusion or incorrect incisions. The marking should be visible after the patient is prepped and draped for the procedure.
3. Time-Out Immediately Before the Procedure
This is a brief pause before the procedure to review and confirm all the previous steps. The surgical team should verify the patient's identity, surgical site, and procedure, as well as ensure that all necessary equipment and supplies are present and in working order.
4. Anesthesia Safety Check
Before administering anesthesia, the surgical team should perform a safety check to verify that the patient is appropriately positioned, the anesthesia equipment is functioning correctly, and all necessary emergency equipment is available.
5. Specimen Labelling
If specimens are to be taken during the procedure, they must be labeled with the patient's name, surgical site, and the date and time of collection.
6. Sponge, Needle, and Instrument Counts
The surgical team must conduct a count of sponges, needles, and instruments before the procedure and again before closing the surgical site to ensure that none are left behind.
7. Post-Procedure Debriefing
After the procedure, the surgical team should debrief to discuss any issues that arose during the procedure and identify areas for improvement in future procedures.