The Time Out Before Incision

In practice

Walk the time out in order. First, every team member introduces themself by name and role. Second, the team confirms the patient's name, the procedure, the incision site and, where relevant, the position; the surgeon, anesthesia provider and circulating nurse each confirm their agreement. Third, the team confirms that preventive antibiotics were given within the window set by protocol, or gives them now. Fourth, each discipline reviews anticipated critical events. Fifth, the team confirms that essential imaging is displayed. Distractions are kept down throughout, and the procedure is read from the consent form.