Surgical Site Marking & Time-Out Checklist

FREE surgical site marking and time-out checklist with Joint Commission Universal Protocol compliance. Covers patient identification, site marking, pre-procedure verification, and team time-out. Multi-market standards for US Joint Commission, UK NHS/CQC, India NABH, Brazil ANVISA, Mexico SSA, and Colombia regulations. Download FREE PDF with 40+ safety points.

  • Industry: Healthcare
  • Frequency: Each Procedure
  • Estimated Time: 5-10 minutes
  • Role: Operations Manager
  • Total Items: 34
  • Compliance: Joint Commission Universal Protocol, WHO Surgical Safety Checklist, CMS CoP Surgical Services, UK NHS Never Events, UK CQC Standards

Pre-Procedure Verification

Verification before patient enters OR.

  • Patient identity verified (2 identifiers)?
  • Informed consent signed and complete?
  • History and physical documented?
  • Required labs/studies reviewed?
  • Allergies verified and documented?
  • Required imaging available in OR?

Site Marking

Surgical site marking per protocol.

  • Operative site marked by surgeon?
  • Site marking visible after prep/drape?
  • Patient participated in marking (if able)?
  • Marking unambiguous (no X marks)?
  • Consent matches marked site?

Sign-In (Before Anesthesia)

Team verification before anesthesia induction.

  • Patient identity confirmed (again)?
  • Site and side confirmed?
  • Procedure confirmed?
  • Anesthesia safety check completed?
  • Pulse oximeter on and functioning?
  • Known allergies announced?
  • Difficult airway or aspiration risk addressed?

Time-Out (Before Incision)

Final verification with entire team.

  • Time-out formally called/announced?
  • All team members present and attentive?
  • Patient name stated aloud?
  • Procedure stated aloud?
  • Site and side stated aloud?
  • Patient positioning correct?
  • Prophylactic antibiotics given (within 60 min)?
  • VTE prophylaxis addressed?
  • Any critical concerns raised by team?

Infection Prevention & Control

Infection control per CDC/Joint Commission

  • Hand hygiene compliance observed?
  • Isolation precautions followed correctly?
  • Sharps containers not overfilled?
  • Appropriate PPE available and used?

Patient Safety Verification

Patient identification and safety protocols

  • Two-patient-identifier protocol followed?
  • Fall risk assessment completed?
  • Bed in low position with rails up?

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Why Use This Surgical Site Marking & Time-Out Checklist?

This surgical site marking & time-out checklist helps healthcare teams maintain compliance and operational excellence. Designed for operations manager professionals, this checklist covers 34 critical inspection points across 6 sections. Recommended frequency: each procedure.

Ensures compliance with Joint Commission Universal Protocol, WHO Surgical Safety Checklist, CMS CoP Surgical Services, UK NHS Never Events, UK CQC Standards, India NABH Pre-Operative, Brazil ANVISA RDC 36, Mexico NOM-026-SSA3, Colombia Resolución 2003/2014. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Surgical Site Marking & Time-Out Checklist cover?

This checklist covers 34 inspection items across 6 sections: Pre-Procedure Verification, Site Marking, Sign-In (Before Anesthesia), Time-Out (Before Incision), Infection Prevention & Control, Patient Safety Verification. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed each procedure. Each completion takes approximately 5-10 minutes.

Who should use this Surgical Site Marking & Time-Out Checklist?

This checklist is designed for Operations Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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