Procedure of time out (moderated by anesthesiologist)

9 items of self-assessment

1

Anesthesiologist: I will start time out from now.

1.

Self-introduction of members

2

Anesthesiologist: I am an anesthetist, “name”. Please introduce your name, in the order of operator, attending doctor, the first assistant, the second assistant, scrub nurse, circulating nurse, and students.

2.

Patient referral

Team members: I’m an operator, “NAME”. I’m an attending

doctor, “NAME”. I’m a first assistant. I’m a second assistant, “NAME”. I’m a scrub nurse, “NAME”. I’m a circulating nurse, “NAME”. I’m a student, “NAME”.

3

Anesthesiologist: Let me know about the patient’s name, procedure. Operator: The Patient is “NAME”. The incision is right or left, ○○○○.

3.

Surgical procedure

4

Anesthesiologist: Let me know about the scheduled operating time and the anticipated blood loss.

4.

Scheduled operating time

Operator: Operating time is (X) hours, blood loss is about (Y) ml.

5

Anesthesiologist: What are the critical or non-routine steps?

5.

Predicted blood loss

Operator: I might perform …

6

Anesthesiologist: I’ve gave the first antibiotic prophylaxis. Has

antibiotic prophylaxis been given in the next?

6.

Important matters in operation

Operator: nothing. (or every 6 hours later)

7

Anesthesiologist: There are some patient-specific concerns.

7.

Timing of antibiotics

8

Anesthesiologist: Has sterility been confirmed? Are there

equipment matters or any concerns?

8.

Important matters in anesthesia

Scrub and circulating nurses: Yes, sterility has been confirmed. There are equipment issues.

9

Anesthesiologist: I’m looking forward to working with you.

9.

Preparation of required materials and equipment

All team members: I’m looking forward to working with you.