Urology Surgery Pre-Operative Checklist
Patient Information
Patient Name
Medical Record Number
Date of Birth
Surgery Date
Surgeon
Pre-Op Checklist
Informed consent obtained
Pre-op investigations reviewed
Imaging available
Surgical site marked
Prophylactic antibiotics ordered
Allergies checked
Coagulation status checked
NPO status confirmed
Urinary catheter planned/inserted
Consent for blood products (if required)
Notes / Comments