手术病人安全核查表.doc

手术病人安全核查表
of rural drinking water sources, protection of drinking water sources in rural areas by the end of th 是 □ 否 □ 术野皮肤准备正确  是 □ 否 □
静脉通道建立完成    是 □ 否 □ 患者是否有过敏史  有 □ 无 □
术前是否已备血      有 □ 无 □ 关节假体□/体内植入物□/影像学支持□
其他：                                              有 □ 无 □
手术医生签名：          麻醉师签名：          手术室护士签名：      
2. 手术开始之前：手术医师、麻醉医师及护士共同确认
患者姓名与年龄正确  是 □ 否 □ 手术方式正确   是 □ 否 □
手术部位与标示正确  是 □ 否 □
手术、麻醉风险预警：
手术医师陈述： 失血量 □ 手术难度 □ 其他 □
麻醉医师陈述： 心肺功能异常等 □   其他 □
手术护士陈述： 物品灭菌合格□ 仪器设备 □
预防性抗菌药核对与使用□ 其他 □
需要相关影像资料  有 □ 无 □ 其他：                     有 □ 无 □
手术医生签名：          麻醉师签名：          手术室护士签名：      
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
手术名称：
患者及家属确认签字： 与 患者的 者 关系：