This document gives permission for the surgical procedure.
What is the surgical consent?
Hair removal should be done using this method.
What is clipping, not shaving?
This keeps the trach tube from becoming dislodged.
What are trach ties?
The top priority upon PACU arrival.
What is airway?
Every female patient under the age of 55 require this prior to surgery?
What is a pregnancy test.
This consent must be signed before sedation or pre-op medications.
What is informed consent?
Hair should be removed at this time to reduce infection risk.
What is immediately before surgery?
This should always be kept at the bedside for trach patients.
What is an obturator and spare trach tube?
This scale is used to determine readiness for PACU discharge.
What is the Aldrete score?
Patients should be NPO for this reason.
What is to prevent aspiration?
This consent may be required for anesthesia separately from surgery.
What is the anesthesia consent?
This is the biggest risk of shaving instead of clipping.
What is skin irritation or infection?
The most common early post-op trach complication.
What is bleeding or accidental decannulation?
This medication class is closely monitored for respiratory depression.
What are opioids?
This item must be removed before surgery.
What is jewelry
If a patient cannot sign, this person may legally consent for them.
Who is a legal guardian or healthcare proxy?
This solution is commonly used for pre-op skin antisepsis.
What is chlorhexidine or povidone-iodine?
This is the first action if a trach becomes dislodged in a fresh trach.
What is call for help and maintain airway/oxygenation?
This complication is common after anesthesia and requires monitoring.
What is nausea/vomiting or hypothermia?
This minimum length of time required to apply Mepilex padding to bony prominences.
What is 120 minutes.
Finding this error on a consent requires stopping the case.
What is a missing signature, wrong procedure, wrong site, or wrong patient?
Clipping should be avoided in this situation unless ordered.
What is when hair removal is not necessary or skin is compromised?
Suctioning should be done for this reason, not routinely.
What is visible secretions, respiratory distress, or decreased oxygenation?
A sudden drop in SpO₂ may indicate this life-threatening issue.
What is airway obstruction or hypoventilation?
This must be verified before antibiotics are given.
What is allergies?