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Ideas That Work: Pre-Dawn Checklist
Morning Rounds Ensure Safety Comes First
OSD Staff
Publish Date: March 14, 2019   |  Tags:   Ideas That Work
RISE AND SHINE Charmaine Keeling, RN, checks OR humidity levels during her 5:45 a.m. walk through the surgical department.   |   Charmaine Keeling, RN

My day begins at 5:45 a.m. sharp when I walk from pre-op to PACU to check on everything from medical gases to medications. Here’s the mental checklist I complete during the morning rounds in order to maintain a safe environment for my staff and our patients.

  • OR temps and humidity levels are within acceptable ranges.
  • Medical gases levels are adequate.
  • Refrigerators and freezers where medications are stored maintained their temperatures overnight.
  • OR doors are fully closed, not propped open.
  • Electronic access doors are functioning properly.
  • Hallways are clear of obstructions.
  • Fire extinguishers are easily accessible.
  • Crash carts have been tested and are fully stocked.
  • All lights within the department are on and are working properly.
  • Cords in ORs are out of walking pathways or safely covered.
  • Sharps containers aren't filled to capacity.
  • Headcovers, shoe covers, face masks and eye shields are readily available.
  • Hand soap and antiseptic dispensers are full.

My morning routine takes me around 15 minutes to complete. Afterward, during our department’s morning huddle, I alert the perioperative team of any safety breaches I discovered and discuss ways we’ll manage the issues until they’re fixed. The staff also sees that I walk the talk when it comes to one of my favorite mottos: “You see it, you own it.”

Charmaine Keeling, RN
miVIP Surgery Centers
Las Vegas (Nev.) Regional Surgery Center
[email protected]