“The checklist identifies three phases of an operation, each corresponding to a specific period in the normal flow of work: Before the induction of anaesthesia (“sign in”), before the incision of the skin (“time out”) and before the patient leaves the operating room (“sign out”). In each phase, a checklist coordinator must confirm that the surgery team has completed the listed tasks before it proceeds with the operation.” 1
Once the patient is ready to proceed they are attached to clinical monitoring equipment. The minimum requirements necessary to comply with best practice are defined by the AAGBI.3 This extends into the recovery ward and, depending on whether he is to return to a High dependency ward or a general ward or whether he will be discharged home directly different guidelines will have to be followed.
During the course of the anaesthetic there are minimum standards expected of the anaesthetist.4