Checklists
Patient Identification
Site Marking
Communication
Potpourri
100

This checklist is performed by the Preoperative nurse before the patient is taken to the OR

What is the Preoperative Checklist? 

100

These identifiers are used to identify a patient prior to placing a hospital band

What is DOB and Name

100
This will happen if a patient arrives to the OR and does not have their site marked

What is surgery will be held until site is marked

100

This color folder is given to the patient in the event there is miscommunication regarding which laterality is to be operated on and signifies to the staff that further discussion/care is required

What is Yellow?

100
This document must be visible to the team when performing the Time-Out

What is the Surgical Consent?

200

This portion of a checklist is reviewed once the patient is in the OR and before the patient is intubated/anesthesia started

What is the Sign-In? 

200

Once a band is placed on a patient, these two identifiers are used to ensure the correct patient

MRN and Full Name

200

T or F : Surgeries such as Splenectomy or Bladder procedures do NOT require site marking

What is TRUE? 

200

In the event there is a hostile OR environment occurring, what pathway should be utilized for intervention?

What is the Conflict Escalation Pathway? 

200

This is where policies can be found at OSUWMC

What is policy tech?

300

This checklist hangs on the wall of every OR and outlines the safety items that must be reviewed for EVERY patient

What is the Surgical Safety Checklist? 

300

If two patients have similar names on a unit, these measures can be taken to decrease errors

Separate patients geographically

Use caution signage

Discuss in daily huddles and on rounds

300

Who, besides the surgeon, participates in site marking?

Who is the patient? 

300

A member of this team leads the Sign-In portion of the Surgical Safety Checklist?

Who is Anesthesia? 

300

T or F: The laterality must be provided at the time of scheduling the surgical procedure

What is TRUE

400

This portion of a checklist is reviewed after the patient is asleep, but before the incision is made

What is the Time-Out?

400

In the event a patient arrives to the hospital and is unable to recite his/her name/DOB, this will be assigned

What is an anonymous name and DOB

400

T or F: The site marking must be visible after the patient is draped in the OR

What is TRUE?

400

Once a statement/request is made, repeating it back is called this.

What is closed-loop communication? 

400

This policy is where you will find information about site marking

What is the Universal Protocol Policy? 

500

This portion of a checklist is reviewed at the end of surgery, but prior to final closure of the skin

What is the Sign-Out

500

T or F: The patient's room number can be used as a patient identifier

What is FALSE? 

500

This site should be marked in the scenario where there are multiple incisions to be made (Ex: Cardiac surgery with vein harvesting)

What is the primary site? 

500

"See it, Say it, Fix it" is a principle of this

What is Crew Resource Management?

500

This is when site marking in the OR is allowable

What is in an emergency?

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