Safety Checklist
Omar Mukhtar bin Zainal No Known Allergy Right (OD)
49y · M · MV-712664 · Intravitreal Injection · OD- Theatre
- Injection room · 11.32 AM
- Status
- Awaiting Call
- ASA
- 3
WHO checklist
7/35| Check | Answer |
|---|---|
Sign-In · Sign-In Before induction · Surgeon (topical), Coordinator Nurse | 6/15 |
Confirmed patient name, planned procedure, site-side, consent From recordConsent signed and locked | |
Op site marked | |
IOL model + power confirmed against biometry | |
Sterile set | |
GA machine checked | |
Anaesthetic machine, oxygen, suction and monitors checked by the anaesthetist | |
Pulse oximeter on and functioning | |
Patient has allergy From record | |
Difficult airway or aspiration risk | |
Any GXM or GSH | |
Venous cannulation done | |
Hypothermia risk > 1 h | |
VTE prophylaxis | |
Suction apparatus checked and functioning | |
OT table checked and functioning | |
Swab count Sign-In opens when the case is Checked In (now Awaiting Call)
Stages
- Sign-In
- 6/15 · opens at Checked In
- Check-In
- 0/1 · opens at Awaiting Procedure
- Time-Out
- 1/10 · opens at Awaiting Procedure
- Intra-Op
- 0/3 · opens at Procedure In Progress
- Sign-Out
- 0/6 · opens at Procedure In Progress
Signatures
0- Sign-In · Surgeon (topical)
- Dr. Seow Shu Yee · not signed
- Sign-In · Coordinator Nurse
- Khairul Azmi bin Mahmud · not signed
- Check-In · Surgeon
- Dr. Seow Shu Yee · not signed
- Time-Out · Surgeon
- Dr. Seow Shu Yee · not signed
- Time-Out · Surgeon (topical)
- Dr. Seow Shu Yee · not signed
- Time-Out · Scrub Nurse
- Yap Swee Mei · not signed
- Intra-Op · Scrub Nurse
- Yap Swee Mei · not signed
- Sign-Out · Checklist Coordinator
- Khairul Azmi bin Mahmud · not signed