WHO Surgical Safety Checklist Verification
The questions asked by the floor nurse—patient identity, procedure site, and anticipated critical events—are essential components of a standardized safety protocol before initiating surgery. These checks are designed to prevent errors and ensure patient safety.
Identifying the Correct Safety Checklist
The specific questions align directly with the 'Sign In' phase of the WHO Surgical Safety Checklist. This checklist, developed by the World Health Organization, aims to improve surgical care and reduce preventable complications globally. Key elements verified during the 'Sign In' phase include:
- Confirming patient identity.
- Confirming the surgical site.
- Confirming the planned procedure.
- Confirming anticipated critical events relevant to the surgeon, anesthesia, and nursing team.
While other checklists might exist, the comprehensive nature and specific components mentioned in the scenario point directly to the internationally recognized WHO Surgical Safety Checklist as the framework being used.
The other options are less suitable:
- Universal precautions focus on infection control.
- A generic nurses safety checklist might not cover surgeon-specific confirmations like anticipated critical events.
- MCI patient safety checklist is not a standard or widely recognized term in this context.
Therefore, the nurse's questions are part of the WHO Surgical Safety Checklist.
Important Questions from Pre-operative & Post-operative Care
- Perioperative benefit from transfusion is with a haemoglobin level of
- A 60 year old lady underwent total abdominal hysterectomy. On the 3rd post operative day she suddenly became breathless while returning from washroom. Her blood pressure recorded was $80/50$ mm of Hg. The most probable diagnosis is
- Perioperative benefit from transfusion is with a haemoglobin level of
- A 20 year old patient underwent open hernia surgery four days back. He is running fever for the last one day and on local examination the operated site was wet with pus and surrounding redness and edema. The appropriate management would be:
- Refeeding syndrome seen after enteral or parenteral nutrition is characterized by all EXCEPT:
