South Carolina Surgical Safety Checklist Template 2025

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  1. Click ‘Get Form’ to open the South Carolina Surgical Safety Checklist Template in the editor.
  2. Begin by reviewing the 'Before Induction of Anesthesia' section. Ensure that patient identification, surgical site, and procedure match the consent form. Use checkboxes to confirm each item.
  3. In the 'Anesthesia Provider discusses patient-specific information' section, fill in details regarding anticipated risks such as airway concerns and blood loss. Make sure to note any planned IV access and blood availability.
  4. Proceed to the 'Before Skin Incision' section. Confirm that all team members perform a Time Out by checking off patient name, procedure, and surgical site. This is crucial for patient safety.
  5. Complete the 'Debriefing' section by discussing operative plans and any equipment issues with your team. Encourage everyone to voice concerns for a collaborative approach.

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It involves briefing, sign-in, timeout, sign-out and debriefing, and is now advocated by the National Patient Safety Agency (NPSA) for all patients in England and Wales undergoing surgical procedures. The medical profession has been slow in adapting such checklists into everyday practice.
The surgical safety checklist consists of three components: sign-in, performed before the induction of anesthesia; time-out, performed before skin incision; and sign-out, performed immediately after skin closure or before the patient leaves the operating theatre.
The 19-item checklist has gone on to show docHub reduction in both morbidity and mortality and is now used by a majority of surgical providers around the world.
Patient safety checklists are visual tools to prompt safe practices, standardize communication, and ensure no step is forgotten in a health care situation1.
The Checklist is a 19-item list of prompts created to decrease human errors and increase teamwork and communication in the operating room.
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Verification includes correct person, procedure site and side. (as applicable) Patient should be awake and aware. A pre-procedural checklist is initiated during the Admission Process to ensure the availability of relevant patient information prior to the scheduled procedure.

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