All of the following are included in surgical safety checklist, except:

Appeared in: NORCET 3 - 2022 (Shift-1)

Explanation

the action that is NOT a standard part of the WHO Surgical Safety Checklist.
The checklist includes assessing the 'Risk of >500ml blood loss' and ensuring 'two IVs/central access and fluids planned' if the risk is present.
However, it does not mandate the verbal confirmation of the patient's specific blood group as a distinct checkpoint.
Blood group verification is a critical part of the overall preoperative process and blood transfusion protocol but is not a spoken item on this particular checklist.

Option A: This is incorrect because introducing team members by name and role is a required step during the 'Time Out' phase of the checklist.
Option B: This is incorrect because confirming the patient's name and the surgical procedure is a fundamental safety check performed during both the 'Sign In' and 'Time Out' phases.
Option C: This is incorrect because verbally confirming the correct labeling of specimens is a key task during the 'Sign Out' phase to prevent errors in pathology.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Components of the WHO Surgical Safety Checklist as background academic context rather than a clinical decision trigger.
The circulating nurse often leads the checklist, making it a key nursing responsibility to ensure it is performed correctly to prevent wrong-site, wrong-procedure, and wrong-patient errors.
Adherence to the surgical safety checklist is a major patient safety initiative that has been shown to significantly reduce surgical complications and mortality rates.
What if? If the team identifies a high risk of blood loss during the 'Sign In', the protocol requires confirming that adequate IV access is established and that blood products are readily available in the hospital's blood bank, even if the blood type isn't spoken aloud in the checklist itself.

How to Approach the Question

First, identify the core subject of the question, which is the 'WHO Surgical Safety Checklist'.
Note the keyword 'except'. This means you are looking for the option that is FALSE or not included.
Mentally review or recall the three phases of the checklist: Sign In, Time Out, and Sign Out.
Evaluate each option against the known steps in these phases.
Option A (names) is in Time Out. Option B (patient name/procedure) is in Sign In and Time Out. Option C (specimen) is in Sign Out.
Option D (blood group) is not an explicit verbal check. Therefore, it is the correct 'exception'.

Concept Tested & Keywords

Concept Tested: Components of the WHO Surgical Safety Checklist
Stem keywords: surgical safety checklist, WHO
Lead-in keywords: except
Negative lead-in flag: The question asks to identify the action that is NOT part of the standard checklist.

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 p. 71-73

Practise the full NORCET 3 - 2022 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.