Title Page

  • 手术类型:

  • 手术日期/时间:

  • 护理团队:

  • 麻醉师:

  • 外科医生:

  • 地点:

麻醉诱导前

  • (至少要护士、麻醉师核对)

  • 患者是否已经确认了其身份、手术部位和名称,是否已签署手术同意书?

  • 是否已标记手术部位?

  • 麻醉机和麻醉药品是否核对完毕?

  • 是否给患者进行血氧饱和度监测,该仪器运转是否正常?

  • 患者是否有

  • 既往过敏史?

  • 是否存在气道困难/误吸的风险?

  • 是否存在失血量>500ml(儿童>7ml/kg)的风险?

切开皮肤前

  • (护士、麻醉师、手术医师核对)

  • 确认团队的所有成员要自我介绍其姓名和职责

  • 确认患者姓名、手术名称和手术部位

  • 手术前60分钟内,是否给患者注射了预防性抗生素?

预期的关键事件

  • 手术医师:

  • 手术的关键步骤是什么?

  • 列出关键或非常规步骤

  • 手术需要多长时间?

  • 包括预计时间

  • 预计的手术失血量是多少?

  • 包括失血估计

  • 麻醉师:

  • 患者有没有特殊的注意事项?

  • 护理团队:

  • 消毒(包括消毒指示带结果)完成没有?

  • 设备有没有问题?有没有其它的注意事项?

  • 列出问题

  • 是否已展示必需的影像资料?

患者离开手术室前

  • (护士、麻醉师、手术医师核对)

  • 护士口头确认:

  • 手术名称

  • 清点完毕手术器械、敷料和针头

  • 标记手术标本(大声朗读标本标签,包括患者姓名)

  • 是否存在需要解决的设备问题

  • 手术医师、麻醉师和护士:

  • 手术后,该患者在康复、治疗方面的特别注意事项?

  • 列出问题

  • 外科医生姓名和签名

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