Which of the following step is not included in surgical safety checklist?

Appeared in: NORCET -4 , 2023

Explanation

The WHO Surgical Safety Checklist is a standardized tool to improve patient safety in surgery.
It consists of three distinct phases: 'Sign In', 'Time Out', and 'Sign Out'.
'Time in' is not a recognized or standard phase within this checklist.
The purpose of the checklist is to ensure critical safety steps are systematically performed at key moments during the perioperative period.

Option B: 'Time Out' is a mandatory phase of the surgical safety checklist.
Option C: 'Sign In' is the first mandatory phase of the surgical safety checklist.
Option D: 'Sign Out' is the final mandatory phase of the surgical safety checklist.

Visual 1: Infographic - A flowchart illustrating the three phases of the WHO Surgical Safety Checklist (Sign In, Time Out, Sign Out) aligned with the timeline of a surgical procedure (pre-anesthesia, pre-incision, pre-exit from OR).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Phases of the WHO Surgical Safety Checklist as background academic context rather than a clinical decision trigger.
Adherence to the Surgical Safety Checklist is a critical nursing responsibility in the operating room to prevent sentinel events like wrong-site, wrong-procedure, or wrong-patient surgery.
Nurses, particularly the circulating nurse, often lead the checklist process, ensuring all team members participate and all items are addressed.
What if? If the 'Sign Out' phase is rushed and a sponge count is misreported, it could lead to a retained surgical item, a serious and preventable medical error requiring further surgery and causing significant harm to the patient.

How to Approach the Question

First, identify the core concept of the question, which is the 'surgical safety checklist'.
Note the negative keyword 'not'. This means you are looking for the option that does NOT belong.
Recall the standard components of the WHO Surgical Safety Checklist. The three main parts are 'Sign In', 'Time Out', and 'Sign Out'.
Compare the options provided against your knowledge of the checklist's components.
Eliminate the options that are actual parts of the checklist ('Time out', 'Sign in', 'Sign out').
The remaining option, 'Time in', is the one that is not part of the standard checklist, making it the correct answer.

Concept Tested & Keywords

Concept Tested: Phases of the WHO Surgical Safety Checklist
Stem keywords: surgical safety checklist, step, not included
Lead-in keywords: not
Negative lead-in flag: This question uses negative framing ('not included'), requiring you to identify the option that is an exception.

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Practise the full NORCET -4 , 2023

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