Information

  • Document No.

  • Conducted on

  • Prepared by

Hospital Theatre Setting

  • Hosptial Wing

  • Theatre Complex

  • Which Theatre

  • Which theatre?

  • Which Lab?

  • Theatre Complex

  • Which theatre?

  • Which theatre?

  • Which theatre?

  • Which theatre?

  • Which Specialty is the operating list?

  • How would you describe this list

  • Who is the named Consultant for this List/Case?

Briefing huddle

  • What time did the Theatre Briefing begin?

  • Where was the Theatre Briefing conducted? ie. anaesthetic room, corridor etc

  • Is there a sign-posted protected area for the team briefing?

Please select the staff/personnel present at briefing

  • Consultant Surgeon

  • Surgical Registrar

  • Consultant Anaesthetist

  • Anaesthetic Registrar

  • Anaesthetic Practitioner (ODP/Nurse)

  • Surgical Scrub Lead Practitioner / Team Leader

  • Health Care Assistant

  • How many other scrub nurses and circulating staff are present

  • Are there other personnel present?

  • Role:

  • Role

  • Role:

  • Add a photo of briefing, team and location

Theatre Briefing

Surgical Procedures on list

  • 1. Planned Surgical Procedure for all patients discussed?

  • Please Comment

Order of Patients

  • 2. Order of the list confirmed/discussed

  • What is the reason?

Patient Review

  • 3. Have all patients been seen by the anaesthetist?

  • Please comment

Equipment Checks

  • 4. Has equipment (including prosthesis & monitoring) been discussed and available

  • 5. Have any issues been identified?

Post operative care

  • 6. Have any post-operative requirements or special investigations been raised for any of the patients?

  • Please comment

Follow up and Closure

  • 7. A team member is given responsibility to follow up any issues raised

  • 8. A scribe is nominated to track QI issues during the list for follow up

  • 9. Team members asked to summarise cases and any anticipated issues to close briefing.

  • On a scale of 1 - 5 how would you rank the briefing on quality and effectiveness? (1 Low - 5 High) Score ONE point if All key staff are present introduced to each other and roles specified All patients are discussed and cases reviewed in order of list Any equipment and staffing issues are reviewed Post operative requirements are stated clearly and a plan executed for optimal flow (e.g. ICU beds) Team members are actively listening and encouraged to ask any questions, raise concerns, or give summaries to conclude briefing.

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