NORCET 8 Prelims-2025
Medical & Surgical Nursing
Easy
WHO prescribed a surgical checklist for safer surgical procedures which includes?
Appeared in: NORCET 8 Prelims-2025
Explanation
- The WHO Surgical Safety Checklist consists of three distinct phases designed to improve team communication and patient safety.
- The first phase, 'Sign In', occurs before the induction of anesthesia to confirm patient identity, site, procedure, and consent.
- The second phase, 'Time Out', is a pause taken by the entire team just before the skin incision to re-verify critical details.
- The final phase, 'Sign Out', is conducted before the patient leaves the operating room to review the procedure, account for all items, and plan for postoperative care.
Why Other Options Were Wrong
- Option B: The first checkpoint, 'Sign In', is specifically timed before the induction of anesthesia, not before premedication. Premedication is often administered on the ward or in a holding area before the patient even enters the operating room for the 'Sign In' process.
- Option C: The final checkpoint, 'Sign Out', occurs before the patient leaves the operating room, not before they come in. A check before coming into the OT would be part of the initial patient reception process, not the final 'Sign Out' phase.
- Option D: The second checkpoint, 'Time Out', is standardized as 'before skin incision'. While intubation is a critical step, 'before skin incision' is a more universal and definitive point that involves the entire team (surgeons, anesthesia, and nursing) just before the irreversible step of the surgery begins.
Related Visual
- 1:
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.
- Implementing the WHO Surgical Safety Checklist has been shown to significantly reduce surgical complications, errors, and mortality rates worldwide.
- It fosters a culture of safety and improves communication and teamwork among surgeons, anesthesiologists, and nurses.
- What if the procedure is an emergency? The checklist is still used, but it may be completed in an abbreviated or expedited manner, focusing on the most critical life-saving steps. The principle of pausing to verify is maintained whenever possible.
How to Approach the Question
- First, identify the core subject of the question, which is the WHO Surgical Safety Checklist.
- Recall or recognize that this checklist has three main parts with specific names and timings.
- Think about the logical flow of a surgical procedure: anesthesia is given, the cut is made, and then the patient leaves.
- Match this logical flow to the three key checkpoints: 'Sign In' (before anesthesia), 'Time Out' (before incision), and 'Sign Out' (before leaving).
- EvalVisualuate each option against this three-step sequence to find the one that matches perfectly.
Concept Tested & Keywords
- Concept Tested: Phases of the WHO Surgical Safety Checklist
- Stem keywords: WHO, surgical checklist, safer surgical procedures
- Lead-in keywords: includes
Question ID
Q5sUDKPNHXsdPreaftl_3k
Practise the full NORCET 8 Prelims-2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Pain Management Questions
- Which one of the following is a method for effective control of pain in post-operative patients and those with chronic pain?
- Which assessment finding would lead the nurse to suspect that a patient's IV line has infiltrated?
- A patient admitted in intensive care unit that has difficulty in breathing and chest pain while breathing. ABG assessment reveals pH 7.33, PaCO2 43 a…
- In which of the following consists with Charcot's triad, EXCEPT?
- A patient has a pain in lower abdomen and feels retention of urine. Which maneuver would be used to empty the neurogenic bladder?
- Which assessment finding would lead the nurse to suspect that a patient's IV has infiltrated?
- A client is receiving IV fluids and develops tenderness, erythema and pain at the site. The nurse suspects which of the following?
- Painful spasms of the hamstring muscle and resistance to further extension of the leg at the knee while flexing the hip of a recumbent patient is cal…
- Pain scale used for the assessment of pain in postoperative patients is?
- The surgical intervention for pain management, which involves cutting a nerve root to relieve pain, is called:
More NORCET 8 Prelims-2025 Questions
- What is the most common reaction to blood transfusion?
- A 9-year-old child with nephrotic syndrome is on corticosteroid therapy. What should be the first priority in the assessment?
- A male adult patient diagnosed with COPD shows signs of hypoxia without hypercapnia and shortness of breath. This condition is best classified as?
- A nurse is preparing to administer digoxin to an adult patient. The apical pulse is 54/min. What should the nurse do?
- Which abnormal ECG wave is seen in a patient with hypothermia?
- While teaching a nursing officer to a patient about slow deep breathing. Which of the following indicates that the technique is being performed corre…
- A 3-week-old infant presents with persistent vomiting and a palpable olive-shaped mass in the upper abdomen. Which electrolyte imbalances may be seen…
- In a 72 kg patient, lorazepam is prescribed at 40 mcg/kg/min to be administered within 15 minutes. The available concentration is 2 mg/mL. How many m…
- Choose the correctly spelt word.
- Fill in the blank with the appropriate preposition: She was annoyed \ \ \ \ \ \ his rude nature.