Risk Management



Ophthalmic surgical checklist

AAO, OMIC, ASCRS, ASORN, and OOSS Ophthalmic Surgical Checklist

The American Academy of Ophthalmology and OMIC asked key ophthalmic societies to join them in developing an ophthalmic-specific surgical checklist. We would like to thank the American Society for Cataract and Refractive Surgery (ASCRS), the American Association of Ophthalmic Registered Nurses (ASORN), and the Outpatient Ophthalmic Surgery Society, for their assistance in producing this Ophthalmic Surgery Checklist.

This sample ophthalmic surgical checklist was designed to meet the needs of patients having many kinds of procedures. Please make any changes necessary to best address the type of patients, procedures, anesthesia, and facility you have. For example, ASCs whose only procedures are cataract surgery with topical anesthesia may not need many of the listed elements. Check with the physicians, anesthesia providers, nurses, and facility administrators to determine which elements are required under state licensing rules or by accreditation organizations.

Click on the name of the document or the “Download” button to access the checklist.

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