Team in a surgical huddle prior to surgical start
  • 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

References[edit | edit source]

  • 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.
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