Cardiac Surgical Skills Training Module/Phase 1: Theoretical Knowledge/Operating Nurse Checklist

▼This Cardiac Surgical Skills Training Module is part of Global Surgical Training Challenge. This page is a work in progress.Leave your comments on the talk page. This page is not open edit.

• Knowledge of procedure
• Blood in Refrigerator or cooler
• Bovie Set and on left side of table
• Size appropriate OR Bed with Anesthesia Screen Holders or use IV poles
• Warming mattress on Bed (room temperature warmed in neonate)
• Set up Light Source for Head Light on appropriate side of bed; connect cords and cable
• Supplies to Scrub Nurse (sterile)
• Thoracotomy
  • Axillary roll
  • Padding
  • towels
  • 2" or 3" tape
• IVs—1 or 2 check with Anesthesia (supplies in room)
• Verify with OR scrub they are ready for patient to be received
• When receiving Patient  
  • OR Consent
  • Blood Consent
  • Chest Xray
• Attach Monitors, Start IVs, (work with anesthesia)
• Once all lines are in notify surgeon
• Position and Prep Patient
• Attach Equipment
• Time Out
• Chart and Charges
• Initial Count
• Chest Tube supplies opened based on size
• Final Count
• Chest Drain to suction when chest is closed, if applicable
• Post procedure time out
• Dressings
  • Sterile and occlusive
• Take patient to ICU

See Safe handoff flowsheet

• Haynes AB, Weiser TG, Berry WR, et al: Safe Surgery Saves Lives Study Group. Changes in safety attitude and relationship to decreased post-operative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 2011;20:102-107
• Russ SJ, Rout S, Caris J, et al: The WHO surgical safety checklist: survey of patients
• Reason J: Human error: models and management. BMJ 2000;320:768-770 . March 2018.