TheatrePracticeStandardsGeneric1

• The Senior Surgeon/Operating Clinician must be present.
• A registered practitioner/delegated person will instigate the ‘Sign In’ and clearly mark
the checklist in the appropriate space to confirm the checks have taken place.
• If at any point during completion of ‘Sign In’ a member of the team is required to leave
the peri-operative environment, the checklist should be suspended and recommenced
when all are present.
• If at any point during ‘Sign In’ the team is interrupted by an individual external to the
team the checklist should be suspended and recommenced when all team members
can pay full attention to the process.
10. Sign Out - after completion of the final swab and instrument count (if applicable) and
prior to any staff member leaving the perioperative environment
• The whole team, including the Surgeon/Operating Clinician, will be present.
• The Surgeon/Operating Clinician will confirm all the team members are present and
initiate the checklist by reading out loud all points in the ‘Sign Out’ section.
• If at any point during completion of ‘Sign Out’ a member of the team is required to
leave the peri-operative environment, the checklist should be suspended and
recommenced when all are present.
• If at any point during ‘Sign Out’ the team is interrupted by an individual external to the
team the checklist should be suspended and recommenced when all team members
can pay full attention to the process.
• Any concerns/problems/issues raised during ‘Sign Out’ should be documented and
passed to the relevant department manager.
• Any concerns or issues that have arisen during the procedure must be logged and
reported on Datix if necessary.
• The team should acknowledge formally any concerns for recovery and/or postoperative
management of the patient.
• Patient details must be entered into the relevant area. These may be hand written or a
patient label may be used.
11. List Debriefing
• The whole team including surgeon(s) and anaesthetist(s) debrief at a suitable interval
to review the procedures undertaken on the operating schedule.
• The whole team acknowledges:
o
o
o
o
o
o
What went well?
Were the any challenges or concerns about the list?
Communication, skill-mix, issues outside theatre, timing issues
Were there any specific equipment issues that needed to be addresses before
the next list?
Is there anything that could have been done to make the list safer?
Is there anything that could have been done to make the list more productive?
• Any issues should be reported to the Departmental Manager, or a Datix raised if
necessary.
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