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SURGEON > Good morning everyone. OK team lets do the safety checklist.
SURGEON > Can everyone please introduce themselves by name and role,
SURGEON > I’ll start Gordon Morrison, orthopaedic consultant,
ANAESTHETIST > James Fowley, anaesthetic consultant
ANAESTHETIC NURSE > Bev Fitzpatrick, Anaesthetist nurse
SCRUB NURSE > Nicki Kildae, scrub nurse
REGISTRAR > Gayle Silveira, trainee orthopaedic registrar
CIRCULATING NURSE > Alison Braun, circulating nurse
SURGEON > Ok Alison, is the whiteboard correct?
CIRCULATING NURSE > Yes all names and roles are correct
CIRCULATING NURSE > Please confirm the patient’s name, site and procedure.
SURGEON > Right, we’ve got Mary Murray,
Date of birth 26/1/38
Unit number 2170101 and we’re doing a right total
hip replacement,
and we’ve got a signed arrow marking the right hip.
CIRCULATING NURSE > Here is the consent form, signed.
REGISTRAR > Thank you.
The consent has been signed for a Right total hip replacement.
CIRCULATING NURSE > Does Mrs Murray have any known allergies?
REGISTRAR > Yes. She has an allergy to bandaids.
CIRCULATING NURSE > Bev, can you please document that on the whiteboard?
ANAESTHETIC NURSE > Certainly Alison, I will do that now.
CIRCULATING NURSE > Antibiotic prophylaxis?
SURGEON > Yes. The antibiotic protocol required for this procedure.
ANAESTHETITS > Have some I.V. Cephazolin going in now.
I’ll make sure it is written up to continue post op.
CIRCULATING NURSE > Has thrombo prophylaxis been arranged?
REGISTRAR > As per DVT protocol.
Daily Subcutaneous Enoxaparine will be started at 8.00 pm
and has been written up to be given at 8:00pm daily. Compression stockings will
be applied in recovery.
CIRCULATING NURSE > Is essential imaging available?
SURGEON > Yes, we have her x-rays and templates here
CIRCULATING NURSE > Are there any critical or unusual steps?
SURGEON > None anticipated at this stage
CIRCULATING NURSE > Expected time of procedure?
SURGEON > Approximately an hour and a half.
CIRCULATING NURSE > Is there likely to be any blood loss requiring transfusion?
REGISTRAR > Probably not but I’ve checked that cross matched blood is available
CIRCULATING NURSE > Are there any particular anaesthetic concerns for Mrs Murray?
ANAESTHETITS > No. Mrs Murray is pretty fit and well
for her age not expecting any problems. She is an ASA 2.
CIRCULATING NURSE > Nicki, are there any equipment or other issues?
SCRUB NURSE > No, the equipment is all good. It has been checked.
CIRCULATING NURSE > Have all prosthesis been checked and confirmed.
SCRUB NURSE > Yes. I’ve checked all the prosthesis. There’s no missing implants.
SURGEON > Does anyone want to raise any concerns?
Everyone > No SURGEON > Ok pre-incision checklist complete.
I’ll help with positioning. Gayle would you like to get scrubbed?
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SURGEON > OK team. We’re ready to sign the patient out.
CIRCULATING NURSE > OK, What procedure should be recorded? SURGEON > Right total hip replacement.
She’s got one drain – a size 10 bellovac.
CIRCULATING NURSE > Nicki, is the count correct? SCRUB NURSE > Yes, the count’s correct.
CIRCULATING NURSE > Gayle, are all specimens correctly labelled?
REGISTRAR > Yes and Mrs Murray has consented to us taking bone samples for research.
CIRCULATING NURSE > Are there any equipment problems to be addressed?
SCRUB NURSE > No and I’ll reorder the prosthesis that we have just used for this procedure.
REGISTRAR > all implant forms and joint registry form have been filled and appropriately recorded.
CIRCULATING NURSE > Are there any unusual or specific concerns regarding recovery post?
SURGEON > Could you ask them to release the drain after about 30 minutes?
James, anaesthetics?
ANAESTHETITS > No, concerns to be handed over to recovery.
SURGEON > Well that’s the end of the check list. Thanks very much team.
CIRCULATING NURSE > Gordon can you sign the check list?
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