Surgical Time-Out Verification Checklist

Perform comprehensive surgical time-out immediately before incision to verify correct patient, procedure, and site as required by Joint Commission Universal Protocol.

  • Industry: Healthcare
  • Frequency: Before every surgical procedure
  • Estimated Time: 2-3 minutes
  • Role: Surgical Team
  • Total Items: 29
  • Compliance: Joint Commission Universal Protocol, WHO Surgical Safety Checklist, CMS CoP

Team Introduction

Team member identification

  • All team members introduced by name and role?
  • All required team members present?

Patient Verification

Confirm patient identity

  • Patient identified using two identifiers?
  • Consent form verified and complete?
  • Consent matches planned procedure?

Procedure & Site Verification

Confirm procedure and site

  • Procedure confirmed by surgeon?
  • Surgical site marked (if applicable)?
  • Site marking visible after draping?
  • Laterality confirmed (L/R)?
  • Imaging displayed (if applicable)?

Safety Checks

Pre-incision safety verification

  • Allergies confirmed?
  • Prophylactic antibiotics given (if indicated)?
  • Blood products available (if needed)?
  • VTE prophylaxis addressed?
  • All required equipment available?
  • Implants verified (if applicable)?

Anesthesia Verification

Anesthesia safety check

  • Airway concerns addressed?
  • Aspiration risk assessed?
  • Anticipated blood loss discussed?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

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Why Use This Surgical Time-Out Verification Checklist?

This surgical time-out verification checklist helps healthcare teams maintain compliance and operational excellence. Designed for surgical team professionals, this checklist covers 29 critical inspection points across 7 sections. Recommended frequency: before every surgical procedure.

Ensures compliance with Joint Commission Universal Protocol, WHO Surgical Safety Checklist, CMS CoP. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Surgical Time-Out Verification Checklist cover?

This checklist covers 29 inspection items across 7 sections: Team Introduction, Patient Verification, Procedure & Site Verification, Safety Checks, Anesthesia Verification, Pre-Assessment Information, Infection Prevention & Control. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed before every surgical procedure. Each completion takes approximately 2-3 minutes.

Who should use this Surgical Time-Out Verification Checklist?

This checklist is designed for Surgical Team 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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