University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

425

Pages:

2
Author:

Mariam A.

Markings, Anaesthesia Bays and Time out Marking of the Correct Side • • Purpose: to prevent wrong side surgery. - Such as operating on the wrong limb. Protocol: 1. Before the surgery -> the surgical team verifies the correct surgical site by marking it directly on the patient’s skin. 2. The mark should be visible even after draping. 3. The surgeon, anaesthetist and nursing staff participate in this process. 4. The patient is actively involved in confirming the correct side. 5. The mark should be consistent with any preoperative imaging ot documentation. 6. If there is any doubt, the team pauses to reconfirm before proceeding. Anaesthetic Bay Identification • • Purpose: to ensure proper patient identification and safety during anaesthesia induction. Protocol: 1. The anaesthetist verifies the patient identity, surgical procedure and relevant medical history. 2. The anaesthetist reviews any allergies, medications and special considerations. 3. The anaesthetist reviews any allergies, medications and special considerations. 4. The anaesthesia machine and equipment are inspected for proper functioning. 5. Emergency drugs and equipment are readily accessible. 6. The patient’s airway management plan is discussed. 7. The anaesthetist confirms the patient’s position e.g. supine, lateral) for induction. 8. The team ensures that monitors e.g. ECG, blood pressure are connected. Time Out Protocol • • Purpose: to prevent errors during surgery by pausing to verify critical information. Protocol: 1. Just before the incision, the entire surgical team (including anaesthesia) participates in a time out. 2. The time out includes: - Verifying the patient’s identity, procedure and correct side using the marked area. - Confirming any allergies, special considerations and consent. - Reviewing any critical steps or concerns. - Ensuring that all necessary equipment and implants are available. Addressing any discrepancies or concerns. Only after consensus is reached does the surgery proceed.