TIME-OUT PROTOCOL ITEMS (8)
Confirmed: 0 / 8Confirm patient identity aloud by verifying full legal name and date of birth or medical record number on the wristband against the surgical schedule and chart.
Verbally state and confirm the planned surgical procedure with all team members, ensuring consensus and consistency with the operative consent.
State the intended surgical site and laterality aloud, and visually verify that the surgical site marking made by the operating surgeon is clearly visible and prepped.
Verify and document that valid, informed surgical and anesthesia consent forms are signed by the patient or surrogate and present in the medical record.
Review all known patient allergies aloud with the anesthesia and surgical teams, specifically confirming status for penicillin, latex, and other common perioperative medications.
Confirm whether appropriate prophylactic antibiotics have been administered within 60 minutes prior to surgical incision (or 120 minutes for vancomycin/fluoroquinolones), or verify that antibiotics are not indicated.
Confirm that all essential diagnostic imaging (e.g. radiographs, CT scans, MRI) is correctly loaded, actively displayed in the operating room, and verified for correct patient and orientation.
Verify that sterility indicators have changed appropriately, sterile processing criteria are satisfied, and all required specialized equipment, instrumentation, and implants are present and operational.
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