Universal Protocol - Time Out Process for Procedures
Prior to performing any procedure/incision on a patient, the pre-procedure checklist will be completed for relevant documentation (H&P, consents, nursing and anesthesia assessment), diagnostic studies, required blood products, implants, devices or special equipment. The surgeon/proceduralist will initiate the Time Out Process and the entire surgical team will physically pause to both verbally and visually acknowledge and confirm the correct patient, side/site, procedure and/or implant.
It is essential to have the attention of everyone in the room!
Use the following guidelines when marking:
- Within 2" of incision
- Visible after draping
- Marked by physician
- Nonoperative side left unmarked