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Drug Reactions

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Swab count- leaving in patient

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miscommunication

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Drug overdoses

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Surgical checklists

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using the correct circuit for sized patient 

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using the correct circuit for sized patient 

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Error with preparation and setting things up

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Equipment error or lack of equipment

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Not leak testing circuits

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sharing work load - clear instructions + job roles 

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sharing work load - clear instructions + job roles 

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Not topping up iso so runs out during op

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Not topping up iso so runs out during op

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Can be avoided by having check lists for setting up theatre

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running out of sterilised items (e.g) Swabs 

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running out of sterilised items (e.g) Swabs 

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checking dates/ stock

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Circulating nurse- errors are more likely to be picked up quicker

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changing Ga nurse or vet. Poor hand over

Prevented by completing GA sheets. Handing over clearly between staff changes. Completing check lists or sheets e.g. dental charts

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Having an extra person double check drug doses and drawing up

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Check Ivs are in place and flushed

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Out of date medication

Crash box- is it accessible and up to date

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Error with pre-medication and the wrong patient

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Giving wrong medication i.e atipam instead of metacam

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Forgetting to lube the patients eye (patient getting dry eye!)

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Forgetting to lube the patients eye (patient getting dry eye!)