Surgical Timeout

Source Link
Updated: 
February 23, 2024

A surgical timeout, also known as a preoperative timeout, is a critical safety procedure performed in operating rooms before starting a surgical procedure. It involves a series of checks and confirmations to ensure patient safety and proper adherence to the surgical plan. Here are the typical steps involved in a surgical timeout:

  1. Introduction: The surgical team, including surgeons, nurses, anesthesiologists, and any other relevant personnel, gather in the operating room. The team members introduce themselves if necessary, ensuring clear communication and accountability.
  2. Patient Identification: The team confirms the patient's identity by checking the patient's identification wristband and verbally confirming the patient's name, date of birth, and any other relevant identifiers. This step ensures that the correct patient is undergoing the intended procedure.
  3. Procedure Verification: The surgical team verifies the procedure to be performed. This includes confirming the patient's identity, the surgical site, the side (if applicable, such as for procedures involving paired organs like kidneys), and any specific details of the procedure (e.g., type of surgery, implants or equipment needed).
  4. Consent Confirmation: The team ensures that the patient has given informed consent for the procedure. This involves confirming that the consent form is properly signed, dated, and contains all necessary information about the procedure, potential risks, and alternatives.
  5. Allergies and Special Needs: The team reviews the patient's allergies, if any, and any special needs or considerations (e.g., positioning requirements, equipment needs) to ensure they are addressed during the procedure.
  6. Anesthesia Verification: If anesthesia is involved, the anesthesia team verifies the patient's anesthesia plan, including any specific medications, doses, and anticipated challenges.
  7. Equipment and Instrument Check: The team verifies that all necessary equipment, instruments, implants, and supplies are present and functioning properly. This includes confirming the availability of any specialized equipment or implants required for the procedure.
  8. Critical Steps Review: The surgical team reviews critical steps of the procedure, potential complications, and contingency plans. This ensures that everyone is aware of the sequence of events and prepared to address any unexpected issues.
  9. Team Confirmation: The entire surgical team confirms their roles and responsibilities for the procedure. This includes acknowledging any specific tasks, such as counting instruments or documenting important events during the surgery.
  10. Final Time Check: The team verifies the current time and confirms that it is appropriate to proceed with the surgery as scheduled.
  11. Documentation: The details of the timeout are typically documented in the patient's medical record, including the names of the team members present, the steps performed, and any relevant findings or concerns.