sign in ( before incision)

1.Identity

Identity of patient confirmed by a member of operating team

the name of patient on identity band matched to case sheet & OT List

2.Lateralisation

the incision is marked

The identity band on side of incision or target organ

3.Antibiotic

the antibiotic has been given on OT table

4.Conscent

Routine

Special

5.Count

Gauges

Sponges

Instruments

Time

sign out ( before closure)

Count

Gauges

Sponges

Instruments

count complete

Time
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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.