1. CHICAGO MERCY HOSPITAL
To: Fred Médard
From: Juliette Danner
Date: Current Date
Re: PREOPERATIVE PROCEDURES
At the last meeting of the medical team, concern was raised about the structure of preoperative
procedures. In light of recent nationwide occurrences in some city hospitals, members of the team
decided to review written procedures to determine if additional steps should be added. A meeting
of the surgical team has been set for Tuesday, May 22. Please try to arrange surgical schedules so a
majority of the surgical team can attend this meeting.
Please review the following items to determine where each should be positioned in a preoperative
surgical checklist:
 Necessary operative forms are signed—admissions and consent for surgery.
 Blood tests have been completed.
 Blood type is noted in patient chart.
 Surgical procedure has been triple-checked with patient and surgical team.
 All allergies are noted in patient chart.
 Anesthesiologist has reviewed and initialed patient chart.
I am confident that the medical team will discover that the preoperative checklist is one of the most
thorough in the region. Any suggestions made by the medical team will only enhance a superior
checklist.
xx:C02-E05-Watermark
CONFIDENTIAL