{"id":531,"date":"2022-12-06T19:22:06","date_gmt":"2022-12-06T19:22:06","guid":{"rendered":"https:\/\/perioperative1001.slc-courses.ca\/?p=531"},"modified":"2022-12-08T17:38:35","modified_gmt":"2022-12-08T17:38:35","slug":"module-10-a-debriefing","status":"publish","type":"post","link":"https:\/\/perioperative1001.slc-courses.ca\/?p=531","title":{"rendered":"Module 10: A. Debriefing"},"content":{"rendered":"\n

Debriefing<\/h2>\n\n\n\n

\ud83d\udcac Communication Highlight<\/h5>\n\n\n\n

The Surgical Safety Checklist Part 3: The Debrief<\/p>\n\n\n\n

You were introduced to the surgical safety checklist as a patient safety tool in course 1 and the different moments when the Briefing and Time Out occur. Now we will look at the Debrief.<\/p>\n\n\n\n

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Debriefing Phase (Surgical Safety Checklist):<\/h5>\n\n\n\n
  1. Post-op care starts with the OR team performing a debrief prior to transferring the patient to PACU.<\/li>
  2. The debriefing phase can be initiated by the surgeon, anesthesia provider, or circulating nurse.<\/li>
  3. All interdisciplinary team members, including the scrub nurse, participate in the debriefing phase before transferring the patient to the receiving unit.<\/li><\/ol>\n<\/div>\n\n\n\n
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    \"\"<\/figure>\n<\/div>\n<\/div>\n\n\n\n
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    \"\"<\/figure>\n<\/div>\n\n\n\n
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    Debriefing before a patient leaves the OR:<\/strong><\/p>\n\n\n\n

    • The surgeon reviews with the entire team the procedure, critical intra-op events, and fluid balances\/management.<\/li>
    • The anesthetist reviews with the entire team important intra-op events, and recovery plans such as post-op ventilation, pain management, glucose, and temperature.<\/li>
    • The circulating nurse reviews with the entire team the sponge\/sharp\/instrument counts, specimen labeling\/management, and important intra-op events such as equipment malfunction.<\/li>
    • The debrief includes changes to the post-op destination.<\/li>
    • The team reviews if anything could have been done to make the case safer or more efficient.<\/li>
    • The debrief includes the hand off to PACU, the Nursing Unit, or ICU.<\/li><\/ul>\n<\/div>\n<\/div>\n\n\n\n
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      Before a patient leaves the operating room, the nurse will verbally confirm:<\/strong><\/p>\n\n\n\n

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      The name of the procedure<\/p>\n <\/div>\n <\/div>\n

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      Completion of instrument, sponge, and needle counts<\/p>\n <\/div>\n <\/div>\n

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      Specimen labeling by reading specimen labels aloud, including the patient\u2019s name<\/p>\n <\/div>\n <\/div>\n

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      Whether there are any equipment problems to be addressed<\/p>\n <\/div>\n <\/div>\n

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      Key concerns for recovery management of this patient<\/p>\n <\/div>\n <\/div>\n<\/div>\n\n\n\n

      (ORNAC, 2021)<\/p>\n\n\n\n

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      \ud83e\udde9 Practice Activity: Role<\/h5>\n\n\n\n

      Complete the activity by dragging each step into the correct order. Or, selecting one and using your arrow keys. Select “Check” when you feel confident in your answer(s).<\/strong><\/p>\n\n\n