Documente Academic
Documente Profesional
Documente Cultură
INTRA-OPRATIVE CARE
Surgical care is complex and involves dozens of steps which must be
optimized for individual patients. In order to minimize unnecessary
loss of life and serious complications, operating teams have 10 basic,
essential objectives in any surgical case, which the WHO safe surgery
guidelines support.
WHO TEN ESSENTIAL GUIDELINES FOR SAFE SURGERY:
(1) The team will operate on the correct patient at the correct site.
(2) The team will use methods known to prevent harm from
administration of anaesthetics, while protecting the patient
from pain.
(3) The team will recognize and effectively prepare for lifethreatening
loss of airway or respiratory function.
(4) The team will recognize and effectively prepare for risk of high
blood loss.
(5) The team will avoid inducing an allergic or adverse drug
reaction for which the patient is known to be at significant risk.
(6) The team will consistently use methods known to minimize the
risk for surgical site infection.
(7) The team will prevent inadvertent retention of instruments and
sponges in surgical wounds.
(8) The team will secure and accurately identify all surgical
specimens.
(9) The team will effectively communicate and exchange critical
information for the safe conduct of the operation.
(10) Hospitals and public health systems will establish routine
surveillance of surgical capacity, volume and results
The patient is discharged from the recovery room when he or she meets established
criteria for discharge, as directed by the anaesthetist.
Informed consent is more than simply getting a patient to sign a written consent form. It
is a process of communication between a patient and physician that results in the
patient's authorization or agreement to undergo a specific medical intervention.
In the communications process, you, as the physician providing or performing the
treatment and/or procedure (not a delegated representative), should disclose and discuss
with your patient:
In turn, your patient should have an opportunity to ask questions to elicit a better
understanding of the treatment or procedure, so that he or she can make an informed
decision to proceed or to refuse a particular course of surgical intervention.
HIGH-RISK CONSENT
High-risk consent is for very critically ill patients and will include the explanation
of a comparison of anticipated mortality with and without surgical intervention.
TIME-OUT FORM
Date:
Patients Name:
Patients Age/Sex:.
Medical Record No.:..
Procedure:..
Position:.
Operation Site:
Surgical Site (marked or not):.
Special Instruments (available or not):
Prophylatic Antibiotic:
DVT Prophylaxis:.