• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Before induction of anaesthesia

  • Patient has confirmed - identity - site - procedure - consent

  • Site marked or not applicable

  • Anaesthesia safety check completed

  • Pulse oximeter attached and functioning

  • Does the patient have a:

  • Known allergy

  • Difficult airway / aspiration risk?

  • Equipment and assistance available.

  • Risk of > 500ml blood loss (7ml/kg in children)

  • Adequate intravenous access and fluid planned.

  • Difficult airway or aspiration risk?

  • Equipment and assistance available.

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