SCABs - Follow UP

• This surgical list Debrief tool flags up issues for improvement to management and WILL receive a response with resolutions. Any member of the OT team can complete it during the end of list debrief, or a scribe can be nominated.

• Document No.

• Audit Title

• Surgical List and Theatre

• Conducted on

  Date

• Scribe/Team member completing form

• Location
  Address

• Personnel

1. Equipment and Instruments

• Were there any equipment or supply issues today?

  Yes

  No

  NA

• Please specify

  Select Availability Function Sterility Vendor related Education Missing items Request for new instruments/equipment

  • Availability
  • Function
  • Sterility
  • Vendor related
  • Education
  • Missing items
  • Request for new instruments/equipment
Other

• Give details

• Add media

  Media

2. Staffing and Personnel

• Were there any problems with staffing on the list today?

  Yes

  No

  NA

• Please specify

  Select Inadequate number Mismatched skills set Knowledge/competency Staff arrival delay Adequacy of hand overs Frequency & timing of breaks Inadequate team communication Temporary staff

  • Inadequate number
  • Mismatched skills set
  • Knowledge/competency
  • Staff arrival delay
  • Adequacy of hand overs
  • Frequency & timing of breaks
  • Inadequate team communication
  • Temporary staff

• Provide Details

3. Preparation and Planning

• Were there any problems with preparation for the list today?

  Yes

  No

  NA

• Please specify

  Select Room set up checklist incomplete Inadequate team briefing meeting Delayed patient review Incomplete investigations Inadequate booking Changes in list order Sub optimal W.H.O sign in Sub optimal W.H.O time out Suboptimal W.H.O. Sign out

  • Room set up checklist incomplete
  • Inadequate team briefing meeting
  • Delayed patient review
  • Incomplete investigations
  • Inadequate booking
  • Changes in list order
  • Sub optimal W.H.O sign in
  • Sub optimal W.H.O time out
  • Suboptimal W.H.O. Sign out

4. Operating Room Environment

• Were there any environment problems today?

  Yes

  No

  NA

• Please select:

  Select Sub optimal room selection Physical obstacles Température Inadequate IT Not conducive to team function Poor ergonomics (e.g. monitor positions)

  • Sub optimal room selection
  • Physical obstacles
  • Température
  • Inadequate IT
  • Not conducive to team function
  • Poor ergonomics (e.g. monitor positions)

• Take a photo

  Drawing

• Provide details

5. Patient-related issues

• Were there any DATIX incidents to report directly involving the patient ?

  Yes

  No

  N/A

• Select Consent form Surgical site ATB omission Retained instruments/swabs Other

  • Consent form
  • Surgical site
  • ATB omission
  • Retained instruments/swabs
  • Other