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

Appeared in: NORCET -4 , 2023

Explanation

The WHO Surgical Safety Checklist consists of three distinct phases: 'Sign In', 'Time Out', and 'Sign Out'.
'Time in' is not a recognized or standard phase within this universally adopted patient safety protocol.
The question asks to identify the step that is NOT part of the checklist, making 'Time in' the correct answer as it is the outlier.

Option B: This is incorrect because 'Time out' is a critical, mandatory phase of the checklist performed just before the skin incision to prevent wrong-site, wrong-procedure, and wrong-patient errors.
Option C: This is incorrect because 'Sign in' is the first official phase of the checklist, conducted before the induction of anesthesia to verify essential patient information and preparedness.
Option D: This is incorrect because 'Sign out' is the final phase of the checklist, performed before the patient leaves the operating room to ensure all procedural tasks are complete and handoff is safe.

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 core nursing responsibility in the perioperative setting, directly impacting patient safety and reducing morbidity and mortality.
Nurses often lead the 'Sign In' and 'Sign Out' processes and are crucial for ensuring the 'Time Out' is performed correctly, acting as a final safeguard against preventable errors.
What if? - If a 'Time Out' is missed or incomplete, the risk of a 'never event' such as wrong-site surgery increases dramatically. This is a serious reportable event with severe consequences for the patient and the healthcare team.

How to Approach the Question

First, identify the negative framing of the question ('not included'). This means you are looking for the option that does not belong.
Recall the standard procedure being asked about: the WHO Surgical Safety Checklist.
Systematically review the known steps of this procedure. The standard phases are 'Sign In', 'Time Out', and 'Sign Out'.
Compare the options provided ('Time in', 'Time out', 'Sign in', 'Sign out') against the known steps.
Identify the option that is not part of the standard procedure. 'Time in' is the term that does not fit the established WHO framework.
Select the non-standard option as the correct answer to the 'not included' question.

Concept Tested & Keywords

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

QSvh0Rc7cOHSEvp8G0pjTw

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

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 90-92

Practise the full NORCET -4 , 2023

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