This is a hard stop safety-check for procedures prior to access, incision or instrumentation of the patient.
What is a time out?
A checklist to ensure safety precautions that includes:
What are the Key Elements of Safe Procedure?
The entire team (including the patient) is to ensure they have the correct patient by asking to verbalize their full name and date of birth.
Who is responsible for verifying the 2-patient identifiers?
An evaluation of a possible ignition or laser source.
What is a fire risk tool assessment?
Witnessing a patient sign to confirm their identity.
What is the role of the witness (RN, LPN, MA) when signing the consent?
The surgeon/proceduralist and one clinical team member before and after the procedure to ensure they have the:
Who is responsible for the Briefing/Debriefing?
Time outs must be done for separate procedures on the same consent.
What process needs to be done prior to proceeding with multiple safe procedures on the same patient?
Marking with an indelible marker with proceduralist initials or use of an anatomical diagram if unable to perform this step.
What is surgical site marking?
If a discrepancy occurs during briefing, time out, and debriefing, all care team members should do this?
All procedures are paused until discrepancy is resolved.