Читать книгу Ottawa Anesthesia Primer - Patrick Sullivan - Страница 47

To ensure the correct procedure is performed on the correct side and on the correct patient, a number of safety checks must be completed. The patient’s identity must be confirmed both verbally and against their identifying arm bracelet. The patient’s procedure, consent, and signature must also be confirmed.

Once inside the operating room, a “Preoperative Pause” is conducted by the OR team. The team members verbally identify themselves and their role—if this has not been done previously in the day, and the patient’s identity is again verified. The indications for antibiotic administration are reviewed and administered, when appropriate, if this has not already been done. This is followed by a discussion of the proposed procedure, sterility of equipment, known allergies, and any problems anticipated by the anesthesia, surgical, and nursing teams. To communicate this vital information effectively, everyone in the OR must pay close attention to minimize the risk of error. At the completion of surgery, a “Debriefing Pause” is conducted to point out any deviations from the planned procedure that may have occurred.