Surgical safety checklist issued by who
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QPG describes safety checklist to keep in mind while surgery to maintain quality standards in Healthcare field issued by WHO
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Surgical safety checklist
WHO Surgical Safety Checklist is very important aspect of safety in the operating rooms of all hospitals.
Surgical Safety & Safer surgery
1. Safety is everybody’s business. According the Hippocratic oath from 5th century : “ Never do harm to anyone” Safer Surgery can be defined as a reduction in avoidable harm to a surgical patient
2. It is a part of medical specialty that uses operative manual and instrumental technique on a patient to investigate or treat a pathological condition. Surgical team: 1. Surgeon 2. Surgeon’s assistance 3. Anesthetist 4. Scrub nurse 5. Scouting nurse 6. Surgical technologist
3. Time or duration when patient admitted and discharge after completion of surgery. So, surgical safety has broadly included in different phases: 1. Preoperative(Diagnosis, investigation) 2. Per operative 3. Postoperative(Up to discharge)
4. 1. Adverse events: An incident which result in harm to the patient. 2. Near Miss: An incident which could resulted in unwanted harm but did not. 3. No-harm events: An incident that occur and reach to the patient but result in no injury.
5. An article in the Gurdian newspaper UK in March 2013 claimed that “five worst medical” nightmares a Pt faces, three related to surgery: 1. Wrong site surgery 2. Wrong patient surgery 3. Retained instruments and swabs The rate of harm in surgical patient is unknown but probably occur in about 10% surgical patient, though much of this harm will be minor.
6. 1. Patients themselves. 2. Healthcare professional 3. System failure. 4. Medical complexity
7. Patients Themselves 1. A variety of presentation. 2. Differing co-morbidities 3. Differing response to treatment 4. Patients are reluctant to speak up. 5. Refuse to co-operate 6. Hide and seek
8. Healthcare professional 1. Inadequate Pt assessment(delay or error in Diagnosis) 2. Failure to use or interpret appropriate test 3. Error in performance of an operation and test. 4. Inadequate monitoring or follow-up. 5. Deficient training or experience 6. Fatigue, overwork or time pressure. 7. Personal or psychological factor i.e. drug abuse or depression. 8. Lack of recognition of the danger of medical errors.
9. System failure 1. Poor communication between healthcare provider. 2. Inadequate staffing level 3. Overreliance on investigation 4. Lack of coordination at handover 5. Drug similarities. 6. Equipment failure due to lack of skilled operators. 7. Inadequate system to report and review patient safety incident.
10. Medical complexity 1. Advance and new technologies(laparoscopic, robotic surgery) 2. Potent drug and their side effects and interaction. 3. Working environment- Surgical ICU, HDU and Operation theatre
11. Surgery is one of the most complex health intervention to deliver. More than 100 million people worldwide require surgical treatment every year for different reason. Great Professor of Surgery Sir Alfred Cuschieri and other describes surgical errors in different categories that committed by the surgeons during care of the Patients.
12. 1. Diagnosis and management erro
Surgical safety checklist
This presentation was prepared by RUTAYISIRE François Xavier and ISHIMWE Diane, Medical students in Year 4(Doctorate 2) at University of RWANDA school of medicine and Pharmacy, Department of Medicine and Surgery. we did the work under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA
Surgical safety checklist
The document outlines a surgical safety checklist that is intended to be completed at various stages of a surgical procedure. It includes verifying the patient's identity and consent for the procedure, checking for allergies or other risks, confirming equipment is functioning properly, reviewing key details of the procedure with the surgical team, and having team members introduce themselves.
Who Surgical Checklist: Principles and Procedures
The World Health Organisation is a global tool to ensure safety in surgery. The principles and procedures are described for how to implement it in your organisation.
Surgical safety
This document discusses surgical safety and errors. It notes that 234 million operations are performed globally each year, with 1 million deaths and 7 million disabling complications, over 50% of which are preventable. Common errors include wrong site, patient, procedure and retained instruments. Causes include lack of protocols, training, supervision, staffing issues and communication breakdowns. Aviation safety practices are presented as a model, with mandatory reporting and a non-punitive culture. The WHO surgical safety checklist is summarized, which was tested in 8 countries and significantly reduced complications and death rates. Universal adoption of checklists and a culture of safety are recommended to improve patient outcomes during surgery.
How to prepare ot for appendicetomy surgery.1
This document provides guidance on preparing for an appendectomy surgery. It outlines the necessary equipment, instruments, drugs, and positioning needed for both open and laparoscopic appendectomy procedures. For general anesthesia, it lists the required items for patient induction and epidural anesthesia. Surgical instruments, machines, sutures, and positioning of the patient and laparoscopic trolley are also described to ensure the operating theater is properly equipped for removing the appendix.
Ethics of o.t
this is a very brief guide for medical students and interns who will be going in the o.t for the first time. this presentation includes almost all aspects of o.t.
Recommended
Surgical safety checklist
WHO Surgical Safety Checklist is very important aspect of safety in the operating rooms of all hospitals.
Surgical Safety & Safer surgery
1. Safety is everybody’s business. According the Hippocratic oath from 5th century : “ Never do harm to anyone” Safer Surgery can be defined as a reduction in avoidable harm to a surgical patient
2. It is a part of medical specialty that uses operative manual and instrumental technique on a patient to investigate or treat a pathological condition. Surgical team: 1. Surgeon 2. Surgeon’s assistance 3. Anesthetist 4. Scrub nurse 5. Scouting nurse 6. Surgical technologist
3. Time or duration when patient admitted and discharge after completion of surgery. So, surgical safety has broadly included in different phases: 1. Preoperative(Diagnosis, investigation) 2. Per operative 3. Postoperative(Up to discharge)
4. 1. Adverse events: An incident which result in harm to the patient. 2. Near Miss: An incident which could resulted in unwanted harm but did not. 3. No-harm events: An incident that occur and reach to the patient but result in no injury.
5. An article in the Gurdian newspaper UK in March 2013 claimed that “five worst medical” nightmares a Pt faces, three related to surgery: 1. Wrong site surgery 2. Wrong patient surgery 3. Retained instruments and swabs The rate of harm in surgical patient is unknown but probably occur in about 10% surgical patient, though much of this harm will be minor.
6. 1. Patients themselves. 2. Healthcare professional 3. System failure. 4. Medical complexity
7. Patients Themselves 1. A variety of presentation. 2. Differing co-morbidities 3. Differing response to treatment 4. Patients are reluctant to speak up. 5. Refuse to co-operate 6. Hide and seek
8. Healthcare professional 1. Inadequate Pt assessment(delay or error in Diagnosis) 2. Failure to use or interpret appropriate test 3. Error in performance of an operation and test. 4. Inadequate monitoring or follow-up. 5. Deficient training or experience 6. Fatigue, overwork or time pressure. 7. Personal or psychological factor i.e. drug abuse or depression. 8. Lack of recognition of the danger of medical errors.
9. System failure 1. Poor communication between healthcare provider. 2. Inadequate staffing level 3. Overreliance on investigation 4. Lack of coordination at handover 5. Drug similarities. 6. Equipment failure due to lack of skilled operators. 7. Inadequate system to report and review patient safety incident.
10. Medical complexity 1. Advance and new technologies(laparoscopic, robotic surgery) 2. Potent drug and their side effects and interaction. 3. Working environment- Surgical ICU, HDU and Operation theatre
11. Surgery is one of the most complex health intervention to deliver. More than 100 million people worldwide require surgical treatment every year for different reason. Great Professor of Surgery Sir Alfred Cuschieri and other describes surgical errors in different categories that committed by the surgeons during care of the Patients.
12. 1. Diagnosis and management erro
Surgical safety checklist
This presentation was prepared by RUTAYISIRE François Xavier and ISHIMWE Diane, Medical students in Year 4(Doctorate 2) at University of RWANDA school of medicine and Pharmacy, Department of Medicine and Surgery. we did the work under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA
Surgical safety checklist
The document outlines a surgical safety checklist that is intended to be completed at various stages of a surgical procedure. It includes verifying the patient's identity and consent for the procedure, checking for allergies or other risks, confirming equipment is functioning properly, reviewing key details of the procedure with the surgical team, and having team members introduce themselves.
Who Surgical Checklist: Principles and Procedures
The World Health Organisation is a global tool to ensure safety in surgery. The principles and procedures are described for how to implement it in your organisation.
Surgical safety
This document discusses surgical safety and errors. It notes that 234 million operations are performed globally each year, with 1 million deaths and 7 million disabling complications, over 50% of which are preventable. Common errors include wrong site, patient, procedure and retained instruments. Causes include lack of protocols, training, supervision, staffing issues and communication breakdowns. Aviation safety practices are presented as a model, with mandatory reporting and a non-punitive culture. The WHO surgical safety checklist is summarized, which was tested in 8 countries and significantly reduced complications and death rates. Universal adoption of checklists and a culture of safety are recommended to improve patient outcomes during surgery.
How to prepare ot for appendicetomy surgery.1
This document provides guidance on preparing for an appendectomy surgery. It outlines the necessary equipment, instruments, drugs, and positioning needed for both open and laparoscopic appendectomy procedures. For general anesthesia, it lists the required items for patient induction and epidural anesthesia. Surgical instruments, machines, sutures, and positioning of the patient and laparoscopic trolley are also described to ensure the operating theater is properly equipped for removing the appendix.
Ethics of o.t
this is a very brief guide for medical students and interns who will be going in the o.t for the first time. this presentation includes almost all aspects of o.t.
Surgical safety checklist issued by who
QPG learning sharing one of the checklist issued by WHO to be followed by surgeons , nurses and anesthetists during whole #surgery to maintain quality in surgical process
Ambulatory surgery
The document discusses ambulatory or day surgery. It defines day surgery as when a patient is admitted for a procedure and discharged within 12 hours. Day surgery has advantages over traditional inpatient surgery like lower costs, faster recovery, and less disruption to daily life. The document outlines patient selection criteria, common procedures performed as day surgery, and important considerations for the preoperative, intraoperative, and postoperative periods to facilitate day surgery and recovery.
Surgical safety
The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
Laparoscopy
Laparoscopy involves using a video camera and thin instruments inserted through small abdominal incisions to perform surgery. It allows internal organs to be viewed and manipulated with less pain and faster recovery compared to open surgery. Common uses include appendectomy, gallbladder removal, and hernia repair. Perioperative nurses provide care before, during, and after laparoscopy by assessing patients, relieving anxiety, maintaining aseptic technique, and ensuring effective airway clearance and pain management.
Intravenous cannulation
This document provides guidance on intravenous cannulation. It discusses the indications for IV cannulation including fluid replacement, medication administration, blood transfusions, and monitoring. The key steps for cannulation are outlined, including preparing the patient, identifying a suitable vein, inserting the cannula at a 10-30 degree angle, securing the cannula with a dressing, and documenting the procedure. Potential complications from cannulation like infection, infiltration of fluids, thrombosis, and extravasation are also summarized.
Laparoscopy instruments
This document provides an overview of laparoscopic instrumentation used in minimally invasive surgery. It discusses the key components needed, including optical devices like telescopes and cameras, equipment for insufflation, trocars and other instruments for accessing the surgical site. A variety of operative instruments are described, such as graspers, dissectors, scissors, and bowel/lung clamps. Energy sources like electrosurgery, ultrasonic devices, and staplers are also covered. The document concludes with a discussion of instruments for tissue approximation and hemostasis, including clip appliers and mechanical staplers, as well as some miscellaneous tools.
Surgical safety checklist
This presentation was done by RUTAYISIRE François Xavier and ISHIMWE Diane, medical students at University of RWANDA School of Medicine and pharmacy, department of medicine and surgery. They did it while they were in Year 4 (Doctorate2), under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA. It tell us about what a surgical safety checklist is, and why is it important in surgical field.
Operating room safety
This is a presentation for the healthcare workers working in operating room. This includes surgeons, nurses, anaesthesiologist and technicians.
Pre operative and post-operative surgical care - a brief medical study
1. The document discusses pre-operative and post-operative surgical care including pre-operative evaluation and preparation, specific risk factors affecting operative risk, pre-operative orders, post-operative management, and common post-operative complications.
2. The pre-operative evaluation involves a comprehensive health assessment including history, exam, investigations, and informed consent to assess patient health and surgical risks.
3. Post-operative care focuses on monitoring vitals, intravenous fluids, analgesics, diet advancement, antibiotics if needed, and managing complications like hemorrhage, infection, and pyrexia.
Surgical hand wash
Hand washing is essential to prevent the transmission of infections. Proper hand washing procedures include wetting hands, applying soap, rubbing hands together for 20 seconds, rinsing with water, and drying hands. For surgery, a surgical hand wash is performed which includes washing hands and forearms with an antimicrobial soap, cleaning under fingernails, and scrubbing for 5 minutes. Alcohol-based hand rubs are preferred over soap and water in most situations due to their effectiveness and convenience. Correct hand hygiene is vital both for patient safety and the prevention of spread of antimicrobial resistance.
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This document discusses day surgery and ambulatory surgery. It defines day surgery as admission and discharge of a patient within 12 hours for a specific procedure. Commonly used terms like outpatient surgery and same-day surgery are explained. The history of day surgery is discussed, including the pioneering work of Harold Griffith in the late 19th century. Key factors that enabled the growth of day surgery include improvements in anesthesia techniques and the rise of minimally invasive procedures. Patient selection criteria include medical fitness, social support, and types of procedures suitable for day surgery. A multidisciplinary approach involving nursing and anesthesia assessment is emphasized.
Preoperative preparation and postoperative care
The document discusses preoperative, intraoperative, and postoperative care for a patient undergoing surgery. In the preoperative stage, patients undergo assessments of their medical history and comorbidities, labs and tests are ordered to optimize the patient's health status, and the surgical plan is arranged. Intraoperatively, strict infection control protocols are followed and checklists are used to ensure safety. Postoperatively, patients are monitored, complications are prevented, and care is documented before discharge. The overall goal is to safely prepare the patient for surgery, perform the procedure, and provide care during recovery.
Informed consent - Medical
What is Informed Consent?
Informed consent is the process by which a patient voluntarily confirms his/her willing participation in an operation after having been informed about all the aspects of the operation that is its benefits, its prognosis, and complications
Informed consent must be in written form and documented with the patients signature and date of consent
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This document discusses proper patient positioning during surgery. It outlines common surgical positions like supine, prone, Trendelenburg, and lithotomy. For each position, it describes how to position the patient, nursing precautions to take, and potential complications to avoid. The goal of positioning is to provide optimal surgical access while maintaining patient safety, comfort, and dignity. Careful positioning can prevent injuries, but risks increase for patients with certain medical factors.
Assessment of blood loss
1) Visual inspection and clinical estimation of blood loss is typically inaccurate, with blood loss often being underestimated by 30-50%.
2) Critical blood loss occurs over 2000cc, but blood loss is almost always underestimated by the time a patient shows signs of hypotension and shock.
3) Methods to more accurately assess blood loss include weighing blood soaked materials, measuring changes in hematocrit levels using formulas to calculate actual blood loss, and transfusing blood unit by unit while reevaluating the patient's condition between each unit.
ABG Analysis ppt
This document provides information about arterial blood gas (ABG) analysis, including the nurse's role in ABG testing. It discusses the importance of ABG interpretation for critically ill patients. The document outlines the six-step process for ABG interpretation and lists common acid-base disorders. It also defines an ABG test, describes normal ABG values, indications for testing, sample collection points and techniques, equipment used, and potential complications of ABG sampling. The overall goal is to help nurses understand ABGs and properly perform arterial punctures to obtain blood samples.
Pre-Anesthetic Checkup
The presentation deals with the basics of pre anesthetic checkups, its only for the educations purpose!
Any kind of replication, modifications and republication is strictly prohibited.
All Rights reserved to the Author. 2016
Preoperative Prepration in General Surgery Patients
This document provides guidance on preoperative preparation for general surgery patients. It discusses defining the preoperative period, objectives of preoperative assessment, types of patients, principles of history taking and medical examination, common investigations, optimizing medical conditions, obtaining consent, and organizing the operating theatre list. The key aspects of preoperative preparation covered include gathering relevant patient information, assessing and optimizing the patient's medical status, anticipating and planning for risks, and informing all parties involved in the patient's care.
Patient controlled analgesia(pca)
Patient Controlled Analgesia (PCA) allows patients to self-administer pain medication via an intravenous or epidural route. It was first developed in the 1970s in the UK. PCA provides effective pain relief while giving patients a sense of control. However, PCA also carries safety risks from overdose or side effects that require careful programming and monitoring by medical staff. Factors like the specific pump used, a patient's individual characteristics, and the training of nurses can all impact the safety of PCA.
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Surgical safety checklist issued by who
QPG learning sharing one of the checklist issued by WHO to be followed by surgeons , nurses and anesthetists during whole #surgery to maintain quality in surgical process
Ambulatory surgery
The document discusses ambulatory or day surgery. It defines day surgery as when a patient is admitted for a procedure and discharged within 12 hours. Day surgery has advantages over traditional inpatient surgery like lower costs, faster recovery, and less disruption to daily life. The document outlines patient selection criteria, common procedures performed as day surgery, and important considerations for the preoperative, intraoperative, and postoperative periods to facilitate day surgery and recovery.
Surgical safety
The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
Laparoscopy
Laparoscopy involves using a video camera and thin instruments inserted through small abdominal incisions to perform surgery. It allows internal organs to be viewed and manipulated with less pain and faster recovery compared to open surgery. Common uses include appendectomy, gallbladder removal, and hernia repair. Perioperative nurses provide care before, during, and after laparoscopy by assessing patients, relieving anxiety, maintaining aseptic technique, and ensuring effective airway clearance and pain management.
Intravenous cannulation
This document provides guidance on intravenous cannulation. It discusses the indications for IV cannulation including fluid replacement, medication administration, blood transfusions, and monitoring. The key steps for cannulation are outlined, including preparing the patient, identifying a suitable vein, inserting the cannula at a 10-30 degree angle, securing the cannula with a dressing, and documenting the procedure. Potential complications from cannulation like infection, infiltration of fluids, thrombosis, and extravasation are also summarized.
Laparoscopy instruments
This document provides an overview of laparoscopic instrumentation used in minimally invasive surgery. It discusses the key components needed, including optical devices like telescopes and cameras, equipment for insufflation, trocars and other instruments for accessing the surgical site. A variety of operative instruments are described, such as graspers, dissectors, scissors, and bowel/lung clamps. Energy sources like electrosurgery, ultrasonic devices, and staplers are also covered. The document concludes with a discussion of instruments for tissue approximation and hemostasis, including clip appliers and mechanical staplers, as well as some miscellaneous tools.
Surgical safety checklist
This presentation was done by RUTAYISIRE François Xavier and ISHIMWE Diane, medical students at University of RWANDA School of Medicine and pharmacy, department of medicine and surgery. They did it while they were in Year 4 (Doctorate2), under supervision of Dr Ntakiyiruta Georges,Mmed,FCSECSA. It tell us about what a surgical safety checklist is, and why is it important in surgical field.
Operating room safety
This is a presentation for the healthcare workers working in operating room. This includes surgeons, nurses, anaesthesiologist and technicians.
Pre operative and post-operative surgical care - a brief medical study
1. The document discusses pre-operative and post-operative surgical care including pre-operative evaluation and preparation, specific risk factors affecting operative risk, pre-operative orders, post-operative management, and common post-operative complications.
2. The pre-operative evaluation involves a comprehensive health assessment including history, exam, investigations, and informed consent to assess patient health and surgical risks.
3. Post-operative care focuses on monitoring vitals, intravenous fluids, analgesics, diet advancement, antibiotics if needed, and managing complications like hemorrhage, infection, and pyrexia.
Surgical hand wash
Hand washing is essential to prevent the transmission of infections. Proper hand washing procedures include wetting hands, applying soap, rubbing hands together for 20 seconds, rinsing with water, and drying hands. For surgery, a surgical hand wash is performed which includes washing hands and forearms with an antimicrobial soap, cleaning under fingernails, and scrubbing for 5 minutes. Alcohol-based hand rubs are preferred over soap and water in most situations due to their effectiveness and convenience. Correct hand hygiene is vital both for patient safety and the prevention of spread of antimicrobial resistance.
Day care surgery BY DR.HARSHENDRA.VEGUNTA
This document discusses day surgery and ambulatory surgery. It defines day surgery as admission and discharge of a patient within 12 hours for a specific procedure. Commonly used terms like outpatient surgery and same-day surgery are explained. The history of day surgery is discussed, including the pioneering work of Harold Griffith in the late 19th century. Key factors that enabled the growth of day surgery include improvements in anesthesia techniques and the rise of minimally invasive procedures. Patient selection criteria include medical fitness, social support, and types of procedures suitable for day surgery. A multidisciplinary approach involving nursing and anesthesia assessment is emphasized.
Preoperative preparation and postoperative care
The document discusses preoperative, intraoperative, and postoperative care for a patient undergoing surgery. In the preoperative stage, patients undergo assessments of their medical history and comorbidities, labs and tests are ordered to optimize the patient's health status, and the surgical plan is arranged. Intraoperatively, strict infection control protocols are followed and checklists are used to ensure safety. Postoperatively, patients are monitored, complications are prevented, and care is documented before discharge. The overall goal is to safely prepare the patient for surgery, perform the procedure, and provide care during recovery.
Informed consent - Medical
What is Informed Consent?
Informed consent is the process by which a patient voluntarily confirms his/her willing participation in an operation after having been informed about all the aspects of the operation that is its benefits, its prognosis, and complications
Informed consent must be in written form and documented with the patients signature and date of consent
Medicolegal aspectsof anaesthesia
medico-legal aspect in health care , what to do in law suit in health care, consent anaesthesia, anaesthesiologist medico-legal aspect
Patient positioning in operating theatre -gihs
This document discusses proper patient positioning during surgery. It outlines common surgical positions like supine, prone, Trendelenburg, and lithotomy. For each position, it describes how to position the patient, nursing precautions to take, and potential complications to avoid. The goal of positioning is to provide optimal surgical access while maintaining patient safety, comfort, and dignity. Careful positioning can prevent injuries, but risks increase for patients with certain medical factors.
Assessment of blood loss
1) Visual inspection and clinical estimation of blood loss is typically inaccurate, with blood loss often being underestimated by 30-50%.
2) Critical blood loss occurs over 2000cc, but blood loss is almost always underestimated by the time a patient shows signs of hypotension and shock.
3) Methods to more accurately assess blood loss include weighing blood soaked materials, measuring changes in hematocrit levels using formulas to calculate actual blood loss, and transfusing blood unit by unit while reevaluating the patient's condition between each unit.
ABG Analysis ppt
This document provides information about arterial blood gas (ABG) analysis, including the nurse's role in ABG testing. It discusses the importance of ABG interpretation for critically ill patients. The document outlines the six-step process for ABG interpretation and lists common acid-base disorders. It also defines an ABG test, describes normal ABG values, indications for testing, sample collection points and techniques, equipment used, and potential complications of ABG sampling. The overall goal is to help nurses understand ABGs and properly perform arterial punctures to obtain blood samples.
Pre-Anesthetic Checkup
The presentation deals with the basics of pre anesthetic checkups, its only for the educations purpose!
Any kind of replication, modifications and republication is strictly prohibited.
All Rights reserved to the Author. 2016
Preoperative Prepration in General Surgery Patients
This document provides guidance on preoperative preparation for general surgery patients. It discusses defining the preoperative period, objectives of preoperative assessment, types of patients, principles of history taking and medical examination, common investigations, optimizing medical conditions, obtaining consent, and organizing the operating theatre list. The key aspects of preoperative preparation covered include gathering relevant patient information, assessing and optimizing the patient's medical status, anticipating and planning for risks, and informing all parties involved in the patient's care.
Patient controlled analgesia(pca)
Patient Controlled Analgesia (PCA) allows patients to self-administer pain medication via an intravenous or epidural route. It was first developed in the 1970s in the UK. PCA provides effective pain relief while giving patients a sense of control. However, PCA also carries safety risks from overdose or side effects that require careful programming and monitoring by medical staff. Factors like the specific pump used, a patient's individual characteristics, and the training of nurses can all impact the safety of PCA.
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Certified Quality Professional Distance Learning Program
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5S LEAN- CERTIFIED PROFESSIONAL & LEAD AUDITOR COURSE AT QPG
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Similar to Surgical safety checklist issued by who
MOST COMMON QUESTIONS OF CBAHI --2023
The credentialing and privileging process at FH involves an initial 3 month probationary period for new medical staff, with full privileges granted upon the recommendation of the Department Head. Privileges are reviewed every 2 years. Nurses access clinical privileges by checking the folder at their nursing station. If a physician is not privileged to perform a procedure, the nurse must stop the procedure and refer to a consultant.
Increase Your SSI Data Collection Efficiency
The document provides an introduction to the Surgical Site Infection (SSI) Audit Tool. It describes the objectives of the tool which are to retrospectively review patient charts and measure processes to help drive continuous improvement in preventing SSIs. The tool measures adherence to best practices across pre-operative, peri-operative, and post-operative periods using a series of yes/no questions. Hospitals are encouraged to begin using the tool to collect monthly SSI data and track their progress towards reduction goals. Support is available from Central Measurement Team and SSI experts to help sites implement and utilize the audit tool.
Preoperative preparations by Dr.Syed Alam Zeb
The document discusses the role of the surgeon in preoperative patient preparation. It outlines the steps involved which include taking a history, performing examinations and required investigations, providing preoperative treatments, ensuring proper communication, and obtaining informed consent. Various types of examinations, common investigations, preoperative treatments for different medical conditions, and elements of the informed consent process are described in detail.
more the surgical team safety better the patient outcome.pptx
The document discusses surgical safety and outlines 3 central problems: it is not recognized as a public health issue, there is a lack of data on surgery and outcomes, and existing safety knowledge is not consistently applied. It notes that over 234 million operations are performed globally each year, with known complication rates of 3-16% and death rates of 0.4-0.8%. The WHO developed a surgical safety checklist to address its 10 objectives for safe surgery, which was piloted in 8 cities and found to reduce postoperative complications and death by over one-third. The checklist provides a simple and effective way to ensure best practices are followed for every patient.
Sonia Journal club presentation (2).pptx
Title: Application of Checklist-Based Nursing Care Process in Patients Undergoing Intervention for Coronary Chronic Total Occlusion: A Quasi-Randomized Study
Presenter: Sonia Pal, M.Sc. Nursing 2nd Year
Journal: BMC Nursing (2023)
Authors: Xia Ge, Haiyang Wu, Zhe Zang, and Jiayi Xie
DOI: 10.1186/s12872-023-03627-8
Study Overview:
This presentation focuses on the effectiveness of a checklist-based nursing care process for patients undergoing interventions for coronary chronic total occlusion (CTO). The study employs a quasi-randomized design to assess improvements in patient care outcomes.
Key Points:
Background: CTO interventions are complex, and traditional nursing methods have not been highly effective, necessitating the exploration of new approaches.
Objective: To investigate the effectiveness of a checklist-based nursing care process in improving care quality, reducing patient anxiety, increasing patient satisfaction, and minimizing adverse events.
Methodology:
Design: Quasi-randomized study
Setting: Department of Cardiology, Shengjing Hospital, China Medical University, Shenyang, China
Participants: 120 patients undergoing CTO interventions
Groups: Intervention group (checklist-based care) and control group (standard care)
Tools: Preoperative and postoperative PCI nursing care checklists, Zung Self-Rating Anxiety Scale, satisfaction questionnaires for doctors and patients
Ethical Considerations: The study adhered to the Declaration of Helsinki, with informed consent obtained from all participants.
Results: The study aimed to demonstrate that checklist-based nursing care could enhance nursing efficiency and patient outcomes compared to conventional methods.
Quality Control: A quality control team ensured adherence to the checklist and study protocol, with regular training and supervision of nursing staff.
Conclusion:
The presentation concludes with findings supporting the effectiveness of checklist-based nursing care in CTO interventions, suggesting improvements in patient care processes and outcomes. The study highlights the importance of structured nursing protocols in complex medical procedures.
Surgical safety campaign
1. Safety is a priority in surgery and harm can occur at different stages from pre-operation to post-operation. Common errors include wrong site surgery, retained instruments, and failure to communicate changes in a patient's condition.
2. Risks in surgery can come from patients themselves, healthcare professionals, system failures, and medical complexity. Healthcare professionals must properly assess and monitor patients, use checklists, and learn from reported incidents to improve safety.
3. Surgical assistants have an important role in preparing for operations, learning key steps, providing assistance during surgery, and documenting what they learn to improve their skills over time under supervision of senior surgeons. Standard
Basic principles of surgery ,exam oriented part 1
This document summarizes key topics related to day case surgery and surgical ethics. It provides an overview of day case surgery, including definitions, selection criteria, advantages, disadvantages and common procedures. It also lists previous exam questions on topics like day case surgery units, discharge criteria and selection criteria. The document then summarizes principles of informed consent, including components of a valid consent and maintaining confidentiality. It concludes with concepts of good surgical practice and protocols for delivering bad news.
Preoperative & Intraoperative nursing care
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This document provides guidance for surgeons on surgical practice during the COVID-19 pandemic. It recommends protecting oneself with appropriate personal protective equipment, frequent hand hygiene, and treating every patient as potentially COVID-19 positive. For surgical cases, it advises minimizing aerosol-generating procedures when possible and taking precautions such as proper ventilation and air filtration in operating rooms. Younger surgeons are encouraged to continue developing their skills during this time through online learning and teaching opportunities. The document emphasizes optimizing patient and staff safety while continuing to provide necessary surgical care during the pandemic.
OPERATIVE NURSING CARE by Ms. DEEPA BIJU, Sister In-Cahrge, Operation Theater...
This PPT explains about Preoperative and intra-operative Nursing care. It explains about Hospital routine and Role of Nurse in pre-opertive and intra-operative period
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This document outlines various hospital protocols and procedures related to patient safety, including ensuring correct patient identification, preventing wrong site/procedure errors, and proper handling of blood products. It discusses the surgical safety checklist that must be performed before procedures, including sign in, time out, and sign out steps. Site marking protocol and exemptions are covered. Risk assessment for venous thromboembolism is also mentioned.
P2 SAFE SURGERY HOUSEMANSHIP MALAYSIA
This document discusses safe surgery practices and checklists. It notes that surgical complications occur in 3-16% of cases and deaths in 0.4-0.8% of cases, with many being preventable. Checklists can help reduce errors like operating on the wrong patient, site, or having unsafe anesthesia. The checklist has pre-operative, time-out, and post-operative components. It emphasizes marking the surgical site, checking for allergies and latest tests, taking antibiotics, and more. Junior staff have important roles like consent, markings, filling forms, and informing relatives. Effective communication and checklists can significantly improve patient safety during surgery.
REGIONAL SURGERY presentation yr.III.pptx
This document discusses the three types of operative care: pre-operative, intra-operative, and post-operative care. Pre-operative care involves preparing the patient physically and psychologically before surgery through testing, education and reducing anxiety. Intra-operative care refers to care provided during surgery, including sterile technique and monitoring vital signs. Post-operative care includes checking the patient's condition after surgery, monitoring the incision site, and providing pain management and wound care. The overall goal is to safely prepare, perform, and recover the patient from surgical procedures.
REGIONAL SURGERY presentation yr.III.pptx
This document discusses the three types of operative care: pre-operative, intra-operative, and post-operative care. Pre-operative care involves preparing the patient physically and psychologically before surgery through testing, education and reducing anxiety. Intra-operative care refers to care provided during surgery, including sterile technique and monitoring vital signs. Post-operative care includes checking the incision site, vital signs, and pain management after surgery to aid recovery.
Vasectomy
Vasectomy is a surgical procedure for male sterilization that involves cutting, blocking, or tying the vas deferens tubes to prevent sperm from entering seminal fluid and causing pregnancy. The document discusses the history, types, procedure, risks, and role of nurses in vasectomy. It notes the procedure can be done with scalpels or non-scalpel methods like using ring forceps and dissectors to access the vas deferens without incisions. After the procedure, patients should rest and avoid heavy lifting for a week while waiting for follow up sperm tests to confirm effectiveness.
Vasectomy
Vasectomy is a surgical procedure for male sterilization that involves cutting, blocking, or tying the vas deferens tubes to prevent sperm from entering seminal fluid and causing pregnancy. The document discusses the history, types, procedure, risks, and role of nurses in vasectomy. It notes the procedure can be done with scalpels or non-scalpel methods like using ring forceps and dissectors to access the vas deferens without incisions. After the procedure, patients should rest and avoid heavy lifting for a week while waiting for follow up sperm tests to confirm effectiveness.
Quality in Surgical Practice presentation
This presentation explains the concept of patient safety, healthcare quality and how these can be embedded into surgical care to ensure excellent patient outcomes.
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The document provides guidance on assessing and managing patients at an emergency scene. It outlines establishing scene safety and patient priorities, performing a primary survey to assess airway, breathing, circulation, disability and environment, identifying critical patients needing rapid transport, and ongoing reassessment during transport. It emphasizes treating critical injuries, rapidly packaging and transporting critical patients to the closest appropriate facility like a trauma center.
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Surgical safety checklist issued by who
- 1. WHO has developed a simple checklist for ensuring surgical safety. There are only 19 questions to go through at 3 different times-before anesthesia, before the first skin incision, and before the patient leaves the waiting room. The following slideshow will show them in detail.
- 2. Has the patient confirmed his/her identity, Site, procedure, and consent? Yes Is the site marked? Yes Not applicable -Cont.- Y
- 3. Is the anesthesia machine and medication check complete? Yes Is the pulse oximeter on the patient and functioning? Yes Does the patient have a known allergy? Yes No
- 4. Difficult airway or aspiration risk? No Yes, and equipment/assistance available Risk of >500ml blood loss (7ml/kg in children)? No Yes, and two IVs/ Central access and fluids planned.
- 5. Confirm all team members have introduced themselves by name and role. Confirm the patient’s name, procedure, and where the incision will be made. Has antibiotic prophylaxis been given within the last 60 minutes? Yes Not applicable Anticipated Critical Events -Cont.-
- 6. To Surgeon: What are the critical or non-routine steps? How long will the case take? What is the anticipated blood loss? To Anesthetist: Are there any patient-specific concerns? -Cont.-
- 7. To Nursing Team: Has sterility (including indicator results) been confirmed? Are there equipment issues or any concerns? Is essential imaging displayed? Yes Not Applicable
- 8. Nurse Verbally Confirms: The name of the procedure Completion of instrument, sponge and needle counts Specimen labeling (read specimen labels aloud, including patient name) Whether there are any equipment problems to be addressed -Cont.-
- 9. To Surgeon, Anesthetist and Nurse: What are the key concerns for recovery and management of this patient?
- 11. Visit: www.qpg.com Or Call on: +91-8872909911