This is very basic and not all inclusive, but like you said every circulator runs their room a little bit differently so if you make a super specific list of the order you are going to do things you will get in a bind. I carry this with me and just glance through it as a mental checklist to make sure I am not missing anything. It is vague on purpose so that it can be adapted to every case.(Our sign in/timeout/debrief is facility wide so yours made be different) Hope it helps. ROOM READY: •DRUGS• BED • POSITIONING • EQUIPMENT• • INSTRUMENTS • PEDALS • WARMER • HEAD LIGHTS • • GLOVES • IMPLANTS • BLOOD AVAILABLE • PASSPORT • INTERVIEW:•ALLERGY • NPO • METAL •CONSENTS • FAMILY• SIGN IN: •PT ID • PROCEDURE • AIRWAY • ASA • ALLERGIES • • ANTIBIOTICS • BB • BLOOD • FR • SPECIAL CONCERNS? • IN ROOM: • MEPILEX • FOLEY • SCD • WARMER• SEATBELT • • PEDALS • LIGHTS • SUCTION • RETRACTOR HOLDER • • PAD • POSITION CHECK• PREP • COUNT • TIME OUT: TEAM INTRO • PT ID • DIAGNOSIS • (ANESTHESIA) • ASA • ALLERGIES • ANTIBIOTICS • BB • (SURGEON) • PROCEDURE • BLOOD NEEDED? • • VTE • WARMER • FIRE RISK • DURING CASE: • FAMILY • UO • DRESSINGS • CAST/SLING?• • NEXT CASE CART • SEND FOR PT • ICU BED • SIGN OUT: • POSTOP DX • SPECIMENS • WOUND CLASS • • EBL • DESTINATION • FAMILY LOCATION • • SPECIAL ORDERS: VENT, XRAY, LABS • REPORT: •BACKGROUND • PROCEDURE • STAFF • ALLERGY• • FOLEY • MEDS • IMPLANT • PRECAUTIONS • GROUND • • DRESSING • DRAIN • SUTURE • BED STATUS •LABS • PATH• ICU REPORT: • SURGERY • LINES • VENT • BLOOD • FAMILY • CHART CHECK: SN/FS-ASA-PROCEDURE-STAFF-COUNTS-MEDS-CAREPLAN- SPECIMEN-CHECKLIST-CONSUMPTION-TIMES-FLASH LOG-SIGNOUT