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Intra OT Check List

The document provides a comprehensive Intra-Operative Checklist designed to enhance efficiency and safety in the Operating Theatre. It includes sections for patient details, time-out verification, team briefing, equipment checks, anesthesia monitoring, surgical counts, and closing procedures. Additionally, it outlines handover and recovery preparations, ensuring all necessary protocols are followed during surgery.

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Murali Krishna
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99 views4 pages

Intra OT Check List

The document provides a comprehensive Intra-Operative Checklist designed to enhance efficiency and safety in the Operating Theatre. It includes sections for patient details, time-out verification, team briefing, equipment checks, anesthesia monitoring, surgical counts, and closing procedures. Additionally, it outlines handover and recovery preparations, ensuring all necessary protocols are followed during surgery.

Uploaded by

Murali Krishna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Here's a sample Intra-Operative (Intra-OT) Checklist to help you track Operating


Theatre (OT) work efficiently. This kind of checklist is used to ensure patient safety, team
coordination, surgical equipment readiness, and adherence to protocols during surgery.

🏥 Intra-Operative Checklist (Intra OT Checklist)

🔹 Patient Details

 Patient Name:

 Age / Gender:

 Hospital ID / Registration No:

 Surgery Name:

 Surgeon:

 Date & Time of Surgery:

🛡 Time-Out Verification (Before Incision)

 Patient identity confirmed

 Procedure and site confirmed

 Consent verified

 Site marking confirmed

 Anesthesia type confirmed

 Allergies checked

 Antibiotic prophylaxis given (within 60 mins)


🧑‍⚕️Team Briefing

 Surgeon explained surgical plan

 Anesthetist shared anesthesia plan

 Nursing staff confirmed equipment & instrument readiness

 Any anticipated critical events discussed

 Implants/special items available (if required)

🛠 Equipment & Environment Check

 Sterility of instruments & drapes confirmed

 Suction working

 Electrocautery checked

 Lights and OT table adjusted

 All required instruments available

 Implants/consumables labeled and ready

💉 Anesthesia Monitoring

 Vitals monitored continuously

 IV lines secured

 Patient position safe and secured

 Foley catheter if needed


 Bair hugger/temperature regulation used

🏷 Surgical Counts

 Initial instrument count done

 Initial sponge/swab count done

 Sharp items counted

🔄 During Procedure

 Any complications documented

 Implants/biopsy specimens labeled

 Sponge/instrument counts done at wound closure

 Patient position rechecked (pressure points, padding)

 Blood loss monitored and recorded

 Additional drugs/materials used documented

✅ Closing Procedure

 Final sponge/swab/sharp count done and matched

 Specimens labeled correctly and handed over

 Wound closure complete

 Dressing applied
 Any drains/catheters inserted documented

🚨 Handover & Recovery Prep

 Post-op instructions noted (medications, ICU/ward)

 Handover to recovery team/anesthesia recovery

 Patient vitals stable

 Name of person receiving patient in recovery:

 OT cleaned and prepared for next case

📋 Signatures

 Surgeon: ____________________
 Anesthetist: __________________
 Scrub Nurse: ________________
 Circulating Nurse: ____________

Would you like this formatted as a printable PDF, Excel tracker, or in any specific digital tool
(like Google Sheets or Microsoft Word)?

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