The medical team reviewed preoperative procedures and decided to examine written protocols to determine if any additional steps were needed. A meeting of the surgical team was scheduled for May 26th to discuss suggested changes to the preoperative checklist. The memo lists several items that should be reviewed to determine where they fit within an updated preoperative surgical checklist, including signed forms, completed tests, noted allergies and reviews by surgical and anesthesia staff. The team hopes to create one of the most thorough preoperative checklists in the region.

1. TO: FredMedard
FROM: Juliette Danner
DATE: May 6, 2015
SUBJECT: PREOPERATIVEPROCEDURES
At the meetingof the medical team, concernwasraisedaboutthe structure of preoperative
procedures. Due tothat concern,the team decidedtoreview written procedurestodetermineif
additional stepsshouldbe added.A meetingof the surgical teamhasbeensetforTuesday,May
26. Please trytoarrange surgical schedulessoamajorityof the surgical teamcan attendthis
meeting.
Please reviewthe followingitemstodetermine where eachshouldbe positionedina
preoperative surgical checklist:
Necessaryoperativeformsare signed—admissionsandconsentforsurgery.
Blood tests have been completed.
Bloodtype isnotedinpatientchart.
Surgical procedure has beentriple-checkedwithpatientandsurgical team.
All allergiesare notedinpatientchart.
Anesthesiologisthasreviewedandinitialedpatientchart.
I am confidentthatthe medical teamwill discoverthatthe preoperative checklistisone of the
mostthoroughin the region.Anysuggestionsmade bythe medical teamwill onlyenhance a
superiorchecklist.
xx:U1-PA02-CMHMemo.docx
Memo
Box 6080
5015 Río Piedras Avenue
San Juan, Puerto Rico 00936