Page 28 - MALAYSIAN PATIENT SAFETY GOALS

ROLES AND RESPONSIBILITIES BEFORE SURGERY END

• Scrub and Circulating Nurses performed sign out

To ensure:
• Final name of procedure
• Final count of instrument, sponges and sharps are correct
(This is an important aspect to prevent incident of unintended retained
foreign body).

KPI 4: Number of “Cases Of Unintended Retained Foreign Body”

• Circulating Nurse must keep all the wrappers such as gauzes, abdominal
sutures and others to prevent miscalculation.
• Circulating Nurse must remove all incorrect amount of gauzes or
abdominal packs from Operating Room immediately.
• Radio opaque gauzes should be used for all types of Surgery.
• Anesthetic Nurse should use only green gauze for anesthesia procedure
• Tampons usage are discourage, but if used it must be recorded.

• Document all faulty instruments immediately
• Take instruction from Surgeon and Anesthetist during reversal of patient.
• Circulating Nurse needs to ensure that Surgeon initial the Swab &
Instrument Count form.
• Anesthetic Nurse should assist and hand over patient to Recovery Nurse
• Recovery Nurse hands over the right patient to Ward Nurse according to
the details on Pre Discharge Check-list.
• Recovery and Ward Nurse should write their names, initials, date, time
and , stamp on the Pre Discharge check-list form.

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