Open Accessibility Menu

Time Outs

Time-outs are required everywhere in the hospital, even for minor procedures at the bedside. Time-outs are initiated by the physician.

Call Patient Safety for more information – Tiffany Parker, 325-670-3315.

Site-Procedures Verification

Site-Procedures Verification Policy, 3.1088

Last Reviewed: January 15, 2016 | Next Review: January 14, 2019

To outline the process for making sure relevant documents and related information or equipment is available prior to the start of the procedure, correctly identified, labeled and matched to the patient's identifiers. Once reviewed, these must show to be consistent with the patient's expectations and with the teams' understanding of the intended patient, procedure and site (UP 01.01.01). There are three components according to Universal Protocol: Pre-procedural verification, site marking, and the time out.

General Rule: This policy applies to all surgical and non- surgical invasive procedures (UP 01.01.01). These procedures, as defined by UP, include: those involving the puncture or incision of the skin, insertion of an instrument, or insertion of foreign material into the body

View the Site-Procedure Verification policy - 3.1088.

Next: Operating Room →