Preoperative Checklist [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Preoperative Checklist ======

**Patient Name:** .......................  
**Date of Surgery:** .......................  
**Procedure:** .......................  
**Surgeon:** .......................  
**Hospital ID (SIP/NHC):** .......................

===== 1. Identification =====
  * [ ] Confirmed full name and ID with patient
  * [ ] Correct side and site marked
  * [ ] Consent form signed and scanned
  * [ ] Allergy status documented

===== 2. Clinical Evaluation =====
  * [ ] Complete medical history reviewed
  * [ ] Neurological exam updated (GCS, focal signs)
  * [ ] Seizure history evaluated (if applicable)
  * [ ] ASA classification assigned: ___
  * [ ] Functional status recorded (e.g. Karnofsky/Rankin): ___

===== 3. Imaging =====
  * [ ] MRI reviewed
  * [ ] CT reviewed
  * [ ] Neuronavigation data uploaded (if applicable)
  * [ ] Vascular imaging reviewed (CTA/MRA/DSA)
  * [ ] Functional imaging (fMRI/DTI) evaluated (if required)

===== 4. Laboratory & Preanesthesia =====
  * [ ] CBC
  * [ ] Coagulation profile
  * [ ] Electrolytes, renal function
  * [ ] ECG (if >40 or cardiac history)
  * [ ] Anesthesia evaluation completed
  * [ ] COVID test (if required)

===== 5. Medication & Preparation =====
  * [ ] Antiepileptics continued (if indicated)
  * [ ] Anticoagulants/antiplatelets managed appropriately
  * [ ] Corticosteroids administered (if edema/mass effect)
  * [ ] Antibiotic prophylaxis ordered
  * [ ] DVT prophylaxis planned
  * [ ] Bowel prep (if spinal or indicated)
  * [ ] Blood group and crossmatch done

===== 6. Logistics =====
  * [ ] ICU / HDU bed reserved
  * [ ] Neuronavigation system available
  * [ ] Microscope / endoscope / neuro-monitoring prepared
  * [ ] Special equipment (clip, shunt, stimulator) ready

===== 7. Patient Instructions =====
  * [ ] NPO status confirmed
  * [ ] Preop hygiene and shaving (if needed)
  * [ ] Jewelry and prostheses removed
  * [ ] Psychological support offered

===== 8. Team Briefing (WHO Surgical Safety) =====
  * [ ] Surgical team briefing completed
  * [ ] Surgical pause/time-out planned

===== Final Check =====
  * [ ] All documentation uploaded to EHR
  * [ ] Checklist reviewed and signed by responsible physician

**Signed by:** ......................................  
**Date/Time:** ......................................