Consent
Clipping and Skin Prep
Tracheostomy Care
PACU Priorities
Pre-Op Safety
100

This document gives permission for the surgical procedure.

What is the surgical consent?

100

Hair removal should be done using this method.

What is clipping, not shaving?

100

This keeps the trach tube from becoming dislodged.

What are trach ties?

100

The top priority upon PACU arrival.

What is airway?

100

Every female patient under the age of 55 require this prior to surgery? 

What is a pregnancy test. 

200

This consent must be signed before sedation or pre-op medications.

What is informed consent?

200

Hair should be removed at this time to reduce infection risk.

What is immediately before surgery?

200

This should always be kept at the bedside for trach patients.

What is an obturator and spare trach tube?

200

This scale is used to determine readiness for PACU discharge.

What is the Aldrete score?

200

Patients should be NPO for this reason.

What is to prevent aspiration?

300

This consent may be required for anesthesia separately from surgery.

What is the anesthesia consent?

300

This is the biggest risk of shaving instead of clipping.

What is skin irritation or infection?

300

The most common early post-op trach complication.

What is bleeding or accidental decannulation?

300

This medication class is closely monitored for respiratory depression.

What are opioids?

300

This item must be removed before surgery.

What is jewelry 

400

If a patient cannot sign, this person may legally consent for them.

Who is a legal guardian or healthcare proxy?

400

This solution is commonly used for pre-op skin antisepsis.

What is chlorhexidine or povidone-iodine?

400

This is the first action if a trach becomes dislodged in a fresh trach.

What is call for help and maintain airway/oxygenation?

400

This complication is common after anesthesia and requires monitoring.

What is nausea/vomiting or hypothermia?

400

 This minimum length of time required to apply Mepilex padding to bony prominences.

What is 120 minutes. 

500

Finding this error on a consent requires stopping the case.

What is a missing signature, wrong procedure, wrong site, or wrong patient?

500

Clipping should be avoided in this situation unless ordered.

What is when hair removal is not necessary or skin is compromised?

500

Suctioning should be done for this reason, not routinely.

What is visible secretions, respiratory distress, or decreased oxygenation?

500

A sudden drop in SpO₂ may indicate this life-threatening issue.

What is airway obstruction or hypoventilation?

500

This must be verified before antibiotics are given.

What is allergies?

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