手术安全核对表(WHO)-脑外科专家顾建文教授-搜狐博客

手术安全核对表
Surgical Safety Checklist Surgical Safety Checklist

麻醉诱导前切开皮肤前患者离开手术室前
（至少要护士、麻醉师核对）（护士、麻醉师、手术医师核对）（护士、麻醉师、手术医师核对）

Before induction of anaesthesia Before skin incision Before patient leaves operating room
(with at least nurse and anaesthetist) (with nurse, anaesthetist and surgeon) (with nurse, anaesthetist and surgeon)

患者是否已经确认了其身份、手术部位和名称，是否已签署手术同意书？
Has the patient confirmed his/her identity,
site, procedure, and consent?

是否已标记手术部位？
Is the site marked?

麻醉机和麻醉药品是否核对完毕？
Is the anaesthesia machine and medication check complete?

是否给患者进行血氧饱和度监测，该仪器运转?

Is the pulse oximeter on the patient and functioning?
患者是否有既往过敏史？
Does the patient have a: Known allergy?
是否存在气道困难 /误吸的风险？
Difficult airway or aspiration risk?

所需设备/辅助人员已就位
equipment/assistance available
是否存在失血量 >500ml（儿童 >7ml/kg）的风险？
Risk of >500ml blood loss (7ml/kg in children)?

已建立两条静脉通道/保留中央静脉导管，已备好液体
two IVs/central access and fluids planned
确认团队的所有成员要自我介绍其姓名和职责
Confirm all team members have introduced themselves by name and role.

确认患者姓名、手术名称和手术部位
Confirm the patient’s name, procedure,and where the incision will be made.
手术前 60分钟内，是否给患者注射了预防性抗生素？
Has antibiotic prophylaxis been given within the last 60 minutes?

预期的关键事件
applicable Anticipated Critical Events

手术医师：手术的关键步骤是什么？手术需要多长时间？预计的手术失血量是多少？
To Surgeon:
What are the critical or non-routine steps?
How long will the case take?
What is the anticipated blood loss?

麻醉师：患者有没有特殊的注意事项？

To Anaesthetist:
Are there any patient-specific concerns?

护理团队：消毒（包括消毒指示带结果）完成没有？设备有没有问题？有没有其它的注意事项？是否已展示必需的影像资料？
To Nursing Team:
Has sterility (including indicator results)
been confirmed?
Are there equipment issues or any concerns?
Is essential imaging displayed?
护士口头确认：
手术名称
清点完毕手术器械、敷料和针头
标记手术标本（大声朗读标本标签，包括患者姓名）
是否存在需要解决的设备问题
Nurse Verbally Confirms:
The name of the procedure
Completion of instrument, sponge and needle counts
Specimen labelling (read specimen labels aloud,including patient name)
Whether there are any equipment problems to be addressed
手术医师、麻醉师和护士 :
手术后，该患者在康复、治疗方面的特别注意事项？
To Surgeon, Anaesthetist and Nurse:
What are the key concerns for recovery and management of this patient?

1/2009修订 WHO,2009

This checklist is not intended to be comprehensive. Additions and modifications to fit local practice are encouraged.

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最后修改于 2014-01-08 09:50 阅读(?)评论(0)

脑外科专家 顾建文教授

手术安全核对表(WHO)

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