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Jul 23rd, 2018
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  1. "checkListData": [
  2. {
  3. "Sign-in": {
  4. " Is the site marked?": {
  5. "StepName": "Sign-in",
  6. "Question": " Is the site marked?",
  7. "SubQuestion": "",
  8. "CheckList": [
  9. "Yes",
  10. "Not applicable"
  11. ],
  12. "SelectedList": [
  13. "Yes",
  14. "Not applicable"
  15. ],
  16. "PageType": "check"
  17. },
  18. " Does the patient have a:": {
  19. "checkListDataList": [
  20. {
  21. "StepName": "Sign-in",
  22. "Question": " Does the patient have a:",
  23. "SubQuestion": " Known allergy?",
  24. "CheckList": [
  25. "No",
  26. "Yes"
  27. ],
  28. "SelectedList": [
  29. "No"
  30. ],
  31. "PageType": "check"
  32. },
  33. {
  34. "StepName": "Sign-in",
  35. "Question": " Does the patient have a:",
  36. "SubQuestion": " Difficult airway/aspiration risk?",
  37. "CheckList": [
  38. "No",
  39. "Yes, and equipment/assistance available"
  40. ],
  41. "SelectedList": [
  42. "No",
  43. "Yes, and equipment/assistance available"
  44. ],
  45. "PageType": "check"
  46. },
  47. {
  48. "StepName": "Sign-in",
  49. "Question": " Does the patient have a:",
  50. "SubQuestion": " Risk of >500ml blood loss (7ml/kg in children)?",
  51. "CheckList": [
  52. "No",
  53. "Yes, and two IVs/central access and fluids planned"
  54. ],
  55. "SelectedList": [
  56. "Yes, and two IVs/central access and fluids planned"
  57. ],
  58. "PageType": "check"
  59. }
  60. ]
  61. },
  62. " Is the anaesthesia machine and medication check complete?": {
  63. "StepName": "Sign-in",
  64. "Question": " Is the anaesthesia machine and medication check complete?",
  65. "SubQuestion": "",
  66. "CheckList": [
  67. "Yes"
  68. ],
  69. "SelectedList": [
  70. "Yes"
  71. ],
  72. "PageType": "check"
  73. },
  74. " Is the pulse oximeter on the patient and functioning?": {
  75. "StepName": "Sign-in",
  76. "Question": " Is the pulse oximeter on the patient and functioning?",
  77. "SubQuestion": "",
  78. "CheckList": [
  79. "Yes"
  80. ],
  81. "SelectedList": [
  82. "Yes"
  83. ],
  84. "PageType": "check"
  85. },
  86. " Has the patient confirmed his/her identity,site,procedure and consent?": {
  87. "StepName": "Sign-in",
  88. "Question": " Has the patient confirmed his/her identity,site,procedure and consent?",
  89. "SubQuestion": "",
  90. "CheckList": [
  91. "Yes"
  92. ],
  93. "SelectedList": [
  94. "Yes"
  95. ],
  96. "PageType": "check"
  97. }
  98. },
  99. "Time-out": {
  100. " Has antibiotic prophylaxis been given within the last 60 minutes?": {
  101. "StepName": "Time-out",
  102. "Question": " Has antibiotic prophylaxis been given within the last 60 minutes?",
  103. "SubQuestion": "",
  104. "CheckList": [
  105. "Yes",
  106. "Not applicable"
  107. ],
  108. "SelectedList": [
  109. "Yes"
  110. ],
  111. "PageType": "check"
  112. },
  113. " Is essential imaging displayed?": {
  114. "StepName": "Time-out",
  115. "Question": " Is essential imaging displayed?",
  116. "SubQuestion": "",
  117. "CheckList": [
  118. "Yes",
  119. "Not applicable"
  120. ],
  121. "SelectedList": [
  122. "Not applicable"
  123. ],
  124. "PageType": "check"
  125. },
  126. "Confirm the patient's name, procedure, and where incision will be made": {
  127. "StepName": "Time-out",
  128. "Question": " ",
  129. "SubQuestion": "",
  130. "CheckList": [
  131. "Confirm the patient's name, procedure, and where incision will be made"
  132. ],
  133. "SelectedList": [
  134. "Confirm the patient's name, procedure, and where incision will be made"
  135. ],
  136. "PageType": "check"
  137. },
  138. " Anticipated Critical Events": {
  139. "checkListDataList": [
  140. {
  141. "StepName": "Time-out",
  142. "Question": " Anticipated Critical Events",
  143. "SubQuestion": " To Surgeon: ",
  144. "CheckList": [
  145. "What are the critical or non-routine steps?"
  146. ],
  147. "SelectedList": [
  148. "What are the critical or non-routine steps?"
  149. ],
  150. "PageType": "check"
  151. },
  152. {
  153. "StepName": "Time-out",
  154. "Question": " Anticipated Critical Events",
  155. "SubQuestion": " To Surgeon: ",
  156. "CheckList": [
  157. "How long will the case take?"
  158. ],
  159. "SelectedList": [
  160. "How long will the case take?"
  161. ],
  162. "PageType": "check"
  163. },
  164. {
  165. "StepName": "Time-out",
  166. "Question": " Anticipated Critical Events",
  167. "SubQuestion": " To Surgeon: ",
  168. "CheckList": [
  169. "What is anticipated blood loss?"
  170. ],
  171. "SelectedList": [
  172. "What is anticipated blood loss?"
  173. ],
  174. "PageType": "check"
  175. },
  176. {
  177. "StepName": "Time-out",
  178. "Question": " Anticipated Critical Events",
  179. "SubQuestion": " To Anaesthetist: ",
  180. "CheckList": [
  181. "Are there any patient specific concerns?"
  182. ],
  183. "SelectedList": [],
  184. "PageType": "check"
  185. },
  186. {
  187. "StepName": "Time-out",
  188. "Question": " Anticipated Critical Events",
  189. "SubQuestion": " To Nursing Team: ",
  190. "CheckList": [
  191. "Has the sterility of instrumentation (including indicator results) been confirmed ?"
  192. ],
  193. "SelectedList": [
  194. "Has the sterility of instrumentation (including indicator results) been confirmed ?"
  195. ],
  196. "PageType": "check"
  197. },
  198. {
  199. "StepName": "Time-out",
  200. "Question": " Anticipated Critical Events",
  201. "SubQuestion": " To Nursing Team: ",
  202. "CheckList": [
  203. "Are there any equipment issues or concerns?"
  204. ],
  205. "SelectedList": [
  206. "Are there any equipment issues or concerns?"
  207. ],
  208. "PageType": "check"
  209. }
  210. ]
  211. },
  212. "Confirm all team members have introduced themselves by name and role": {
  213. "StepName": "Time-out",
  214. "Question": " ",
  215. "SubQuestion": "",
  216. "CheckList": [
  217. "Confirm all team members have introduced themselves by name and role"
  218. ],
  219. "SelectedList": [
  220. "Confirm all team members have introduced themselves by name and role"
  221. ],
  222. "PageType": "check"
  223. }
  224. },
  225. "Sign-out": {
  226. " To Surgeon, Anaesthetist and Nurse:": {
  227. "StepName": "Sign-out",
  228. "Question": " To Surgeon, Anaesthetist and Nurse:",
  229. "SubQuestion": "",
  230. "CheckList": [
  231. "What are the key concerns for recovery and management of this patient?"
  232. ],
  233. "SelectedList": [
  234. "What are the key concerns for recovery and management of this patient?"
  235. ],
  236. "PageType": "check"
  237. },
  238. " Nurse Verbally Confirms:": {
  239. "checkListDataList": [
  240. {
  241. "StepName": "Sign-out",
  242. "Question": " Nurse Verbally Confirms:",
  243. "SubQuestion": "",
  244. "CheckList": [
  245. "The name of the procedure"
  246. ],
  247. "SelectedList": [
  248. "The name of the procedure"
  249. ],
  250. "PageType": "check"
  251. },
  252. {
  253. "StepName": "Sign-out",
  254. "Question": " Nurse Verbally Confirms:",
  255. "SubQuestion": "",
  256. "CheckList": [
  257. "Completion of instrument, sponge and needle counts"
  258. ],
  259. "SelectedList": [],
  260. "PageType": "check"
  261. },
  262. {
  263. "StepName": "Sign-out",
  264. "Question": " Nurse Verbally Confirms:",
  265. "SubQuestion": "",
  266. "CheckList": [
  267. "Specimens labelling (read specimen labels aloud, including patient name)"
  268. ],
  269. "SelectedList": [
  270. "Specimens labelling (read specimen labels aloud, including patient name)"
  271. ],
  272. "PageType": "check"
  273. },
  274. {
  275. "StepName": "Sign-out",
  276. "Question": " Nurse Verbally Confirms:",
  277. "SubQuestion": "",
  278. "CheckList": [
  279. "Whether there are any equipment problems to be addressed"
  280. ],
  281. "SelectedList": [],
  282. "PageType": "check"
  283. }
  284. ]
  285. }
  286. },
  287. "Live saving drugs": {
  288. " Live saving drugs": {
  289. "StepName": "Live saving drugs",
  290. "Question": " Live saving drugs",
  291. "SubQuestion": "",
  292. "CheckList": [
  293. "Drug1",
  294. "Drug2",
  295. "Drug3",
  296. "Drug4",
  297. "Drug5",
  298. "Drug6",
  299. "Drug7",
  300. "Drug8",
  301. "Drug9",
  302. "Drug10",
  303. "Drug11",
  304. "Drug12",
  305. "Drug13",
  306. "Drug14",
  307. "Drug15",
  308. "Drug16",
  309. "Drug17",
  310. "Drug18",
  311. "Drug19",
  312. "Drug20",
  313. "Drug21"
  314. ],
  315. "SelectedList": [
  316. "Drug2",
  317. "Drug4",
  318. "Drug10",
  319. "Drug11"
  320. ],
  321. "PageType": "check"
  322. }
  323. }
  324. }
  325. ]
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