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

NORCET 3 - 2022 (Shift-1)

Medical & Surgical Nursing

Easy

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

Explanation

The WHO Surgical Safety Checklist is a standardized tool to ensure patient safety, but it does not include a specific step to confirm the patient's blood group.
While a patient's blood group is critical pre-operative information, the checklist's related item focuses on assessing the 'Risk of >500ml blood loss' and ensuring that 'two IVs/central access and fluids [are] planned' if the risk is present.
The other three options are all explicit, mandatory checks within the three phases of the checklist (Sign In, Time Out, and Sign Out).

Option A: This is incorrect because introducing team members, including the surgeon and anaesthetist, by name and role is a required step during the 'Time Out' phase.
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 any surgical specimens is a mandatory check during the 'Sign Out' phase.

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 them a crucial advocate for patient safety in the operating room.
Proper execution of the checklist is proven to reduce surgical complications, infections, and mortality.
What if? If a discrepancy is found during the 'Time Out' (e.g., the surgical site marking doesn't match the consent form), the entire team must stop and resolve the issue before proceeding. This is known as 'stopping the line' and is a critical safety behavior.

How to Approach the Question

First, identify the negative framing of the question by spotting the keyword 'except'. This means you are looking for the option that is NOT included in the checklist.
Recall the three main phases of the WHO Surgical Safety Checklist: Sign In (before anesthesia), Time Out (before incision), and Sign Out (before the patient leaves the OR).
Mentally review the key activities that occur in each phase.
Evaluate each option against your knowledge of the checklist's components.
Option A (names), B (patient ID), and C (specimens) are all well-known parts of the checklist. Option D (blood group) is pre-op data, but not a specific checklist confirmation item. The checklist focuses on the risk of bleeding, not the blood type itself.
Select the option that does not fit into any of the three phases as the correct answer.

Concept Tested & Keywords

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