Time outs for C sections

[Suebee6]

We had never done these before our last JCAHO survey truthfully..but now they are required. They seem silly, since on our unit the same nurse admits, preops, walks back with them to the OR, stays in the room and circulates, and walks back and recovers them...to stop and do a time out. We know which doc is supposed to be in there, and if the wrong one walks in we surely stop them. I do understand the logic of course...and we do make it clear if a tubal is going to be or not be involved. So we do try to make it a point. But again, since we ONLY do sections....it seems silly to say, "doc B..we are here to do a section on Ms K" KWIM?. Most of the docs made fun of us (in a playful way) at first but now they go along with us at least Does everyone else attempt this or have you always done it?

[musicalnursynurse]

I have heard of time outs and we don't even use them in regular OR but I see the benefit, I am too new there to start anything, but if I checked the patient I give a little rapport to at least one of the surgical team, anesthesia and of course my scrub nurse.

The other hospital I work in in labor and delivery no rapport seems to be given no time out no sharing of blood type or special factors, and though I pass message on to the OR nurses, normally have the chance to see anethesia and obstetrician earlier for anything special.

[SmilingBluEyes]

I believe that is the Standard of Care now, to do "time outs" for any surgical procedure, including csection. If you are not doing them now, you will be, soon.

[musicalnursynurse]

I know it is in canada according to the AORN, however educators are saying we tried and it didn't work HA!!!

What a shame

[midwife2b]

If our patient is awake, the anesthesiologist says, "and what is your name, please?" and the patient responds. Next: "And what are we going to do now?" "I am having a C-section". "And who is your doctor?" "Doctor so-and-so...(and midwife(!)

If they are asleep or otherwise unable to speak, we do the usual "ladies and gentlemen" type time out.

JCAHO LOVED this!

We do tell our patients about the time out so they know our safety measures.

[Mimi2RN, ASN, RN]

If our patient is awake, the anesthesiologist says, "and what is your name, please?" and the patient responds. Next: "And what are we going to do now?" "I am having a C-section". "And who is your doctor?" "Doctor so-and-so...(and midwife(!)

If they are asleep or otherwise unable to speak, we do the usual "ladies and gentlemen" type time out.

JCAHO LOVED this!

We do tell our patients about the time out so they know our safety measures.

The circulating nurse (the labor nurse) does this in our c/s. As long as the mom is awake, she is involved in the procedure. It's a good habit, even if it seems redundant in L&D.