
Passionate about good hip fracture care, regional anaesthesia, critical care. Clinical QI lead. @SQSFellowship cohort 13
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ALT Pictured is a flow chart which sets out the eight sequential steps included in the National Safety Standards for Invasive Procedures 2 combined with elements of the World Health Organization Surgicla Safety Checklist and invasive never events. The eight steps are as follows: 1. Consent and Procedural Verification 2. Team Brief 3. Sign In 4. Time Out 5. Implant Verification (EPR / Scan-for-safety) 6. Reconciliation (counting) of items including needles, swabs & instruments. 7. Sign Out 8. Debrief/Handover The author is Nigel Roberts, Head Theatre Practitioner (Head of Nursing) at Birmingham Women’s and Children’s NHS Foundation Trust, and the flow chart was produced with support from Patient Safety Learning and Dr Annie Hunningher.




























