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| |  What is your OR Time OUT consist of??
So whats being asked, documented for your hospital OR's time out???
DVT? Beta blockers? 
 | | Advertisement Sponsored Links | | | | No. 1 | 
Dec 13, 2008, 02:04 AM
Re: What is your OR Time OUT consist of??
We do an identification with the surgeon, anesthesia and the circulator as soon as the pt comes to the room. Before incision is made, we do a time out stating the patients name, laterality and what procedure we're doing. The nurse checks the consent to make sure everything lines up and I'll state that everything is correct out loud. Everyone in the room has to stop and pay attention to the time out.
When I was a tech, I'd hide the scalpel on the surgeon until he did a time out. Believe it or not, some used to try to get away with not doing one.  Everyone takes it seriously now, as they should.
| | No. 2 |
Dec 13, 2008, 02:23 AM
Re: What is your OR Time OUT consist of?? Originally Posted by WitchyRN  When I was a tech, I'd hide the scalpel on the surgeon until he did a time out. Believe it or not, some used to try to get away with not doing one. Everyone takes it seriously now, as they should.
That is freakin awesome. Most techs will hand the scalpel whether or not a time out was performed. Way to look out for your circulator (and patient.)
| | No. 3 |
Dec 13, 2008, 05:25 AM
Re: What is your OR Time OUT consist of??
We identify the patient when we come into the room. We also confirm the procedure, surgeon, side, any allergies, and if antibiotic was given. After the surgeon has scrubbed and is in the room to stay, we do a final time out. That consists of identifying the patient, surgeon, procedure, patient position, antibiotic given (check for timeliness), implants available (if applicable). Everyone in the room must participate and agree.
I love the idea of the tech keeping the blade away from the surgeon until final time out has been concluded. What an advocate!
| | No. 4 |
Dec 14, 2008, 01:13 AM
Re: What is your OR Time OUT consist of?? Originally Posted by linda2097 That is freakin awesome. Most techs will hand the scalpel whether or not a time out was performed. Way to look out for your circulator (and patient.)
LOL, thanks! I think it was partly because we've had a few incidents in my state that were made very public. I'm not someone who will butt heads with a doc over every little thing, but wrong site surgery is a huge issue. Plus, I always had it in the back of my mind that I was going to be a nurse some day, so I tried to be a team player with my circulator.
Ha ha, in my last hospital..the nurse would announce the time out and some docs would try to talk over you. They did this to me one day, so I very loudly announced...
I'M NOT WEARING A BRA TODAY!!!!!
Silence fell, and I said "Now that I have your attention, we have Mr Smith, who is having a right hernia repair...."  Luckily, everyone in that room had a good sense of humor.
| | No. 6 |
Dec 14, 2008, 12:19 PM
Re: What is your OR Time OUT consist of??
Our basic time out consists of the pt name, surgery, and specifically the side if it applies.
Typically, the circulator does it, but if for some reason they don't, I've often seen the scub tech ask for it, or the surgeon or anes doc does it.
I try to do it after the surgeon is in the room for the last time, before the incision is made of course.
Mike
| | No. 8 |
Dec 14, 2008, 05:56 PM
Re: What is your OR Time OUT consist of?? Originally Posted by WitchyRN
When I was a tech, I'd hide the scalpel on the surgeon until he did a time out. Believe it or not, some used to try to get away with not doing one. Everyone takes it seriously now, as they should. Heehee - awesome! We have something in common! My version of that was to always tell them that I had failed to throw a blade before I scrubbed in, look sheepish (as much as possible in a cap, mask and safety glasses), bat my eyelashes at them, and say we'd have to wait on the circulator to get me one AFTER the Time Out was done! It didn't take too long for them to get the idea that they weren't getting a scalpel from me until we got through that process. (And they ALL knew better than to try and grab anything off my mayo. The first time who one tried that, he got a rap on the knuckles with a hemostat - not brutal, just lightly to get his attention and make sure he realized that was not acceptable. It never happened again.)
We ID'd the patient when they came in the room by introducing them to whomever was in the room at the time, and then before scalpel time, we'd repeat name, procedure, position, SIDE OF THE BODY, allergies and the circulator would have to give us the yay or nay to get started. | | No. 9 |
Dec 14, 2008, 07:49 PM
Re: What is your OR Time OUT consist of?? Originally Posted by linda2097 I've never heard of a surgeon complaining about a circulator being too loud. They should be happy that you are speaking loud and clear.
Thanks Linda!!! I agree, what's wrong with being loud? It's better then making a mistake!
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