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D
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I
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N
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Q
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R
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U
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X
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OTHER
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Directory Results for Perioperative Checklist Date: / / Patient Name: Proposed Procedure(s): Allergies: SignIn Other: DOB: / / TimeOut (Before Induction of Anesthesia) (Before Skin Incision) Team Confirms The Following: Confirmed or N/A 1 to Perioperative Competence Programme

Perioperative Checklist Date: / / Patient Name: Proposed Procedure(s): Allergies: SignIn Other: DOB: / / TimeOut (Before Induction of Anesthesia) (Before Skin Incision) Team Confirms The Following: Confirmed or N/A 1
Perioperative Chemotherapy
Perioperative Competence Programme