Surgery Prep Checklist Patient name _______________________________ Date ______________________________ Students names________________________________ Procedure ______________________ Weigh patient Make

patient record Calculate all medication doses and have Dr. Cerfogli or DeeDee check Make sure all labs have been completed (Dogs HW filter and antigen, fecal, manual CBC, pre-anesthetic panel (Cats Combo or !"#$ test, fecal, CBC, pre-anesthetic panel %erform ph&sical e'am Check crash cart ( fill as needed Check anesthetic machine -)'&gen tubes (correct t&pe ( si*es -+oda sorb (change if needed -,so level ( fill if needed -Check scavenger ( f-air -Check for leaks Check o'&gen level (should be -.// +et up for ,$ catheter 0ith fluids -Calculate fluid rate -Catheter, tape, ,$ pump, heparin flush, t-port +et up for intubation -$arious si*es of "1 tubes -Check "1 tube cuffs ( determine cuff fill amount -+et up lar&ngoscope ( check batteries -1ongue grabber 2dminister pre-meds %lace ,$ catheter ( start ,$ fluids 3ive induction medications ,ntubate patient -,nflate cuff -Check for proper inflation -4nhook o'&gen tubing from "1 tube prior to turning patient 2ppl& e&e lube Complete initial monitoring ( repeat ever& . minutes Clip surgical site -5o ra*or burn -5eatness counts ,nitial chlorhe' ( alcohol scrub Move patient to surgical suite !inal chlorhe' ( alcohol scrub +pra& surgical area 0ith betadine 1urn over monitoring sheet to surger& techs Clean up prep area and refill supplies Complete additional labs (ear c&tolog& etc. !ill out anesthesia log %hotocop& records ( prepare patient file 1urn in completed records to Dr. Cerfogli