Surgical Safety Checklist

Patient Has Confirmed Identity

Patient Has Confirmed Site

Patient Has Confirmed Procedure

Patient Has Confirmed Consent

Site Marked/Not Applicable

Anesthesia Safety Check Complete

Does Patient Have a Known Alergy? (Yes or No)

Difficult Airway / Aspiration Risk (Yes or No)

Risk of Blood Loss

Confirm All Team Members Introduced Themselves by Name and Role

Surgeon, Anesthesia Professional and Nurse Verbally Confirmed

Anticipated Critical Events