(IPHS) Guidelines - NRHM Manipur

Annexure 15Steps for Safety in Surgical Patients (in the Pre-operative Ward)To be done by SurgeonTo be done by Staff NurseTo be done by AnesthetistHistory, examination and investigationsPre-op ordersCheck and reconfirm PAC findingsAssess and mention any co-morbid conditionRecord boldly on 1 st page of case sheetHistory of drug allergiesBlood transfusionSample for grouping and crossmatchingto be sentCheck availability & donationRisk of transfusion to be explainedto relativesPatient’s consent to be taken(Counter sign by surgeon)Part preparation as orderedIdentification tag on patient wristName/Age/Sex/C.R. No/Surgical unit/DiagnosisFollow pre-op ordersAntibiotic sensitivity test doneSignature of Staff NurseCheck PAC findingsAssess co morbid conditionsH/O any drug allergyCheck ConsentSignature of AnaesthetistWritten well informed consent from patient(Counter sign by surgeon)Sister in charge of O.T. to be informed inadvance regarding the need for specialequipmentSignature of Surgeon74Indian Public Health Standards (IPHS) Guidelines for Community health centres