Get Surgical Pause/ Time-out Form

Filling out the Surgical Pause/ Time-Out Form is a critical process that ensures safety and accuracy during surgical procedures. This guide provides step-by-step instructions for completing the form online, enabling users to streamline their workflow effectively.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the Surgical Pause/ Time-Out Form and open it in your online editor.
2. Start by entering the date of the procedure in the designated field. This information is crucial as it reflects when the surgical operation will occur.
3. For patient identification, choose at least two identifiers from the listed options, inputting the relevant details such as the patient's name, assigned ID, or date of birth.
4. Next, provide procedure identification by entering the names of the surgeon(s) involved, the procedure being performed, and the specific procedure site.
5. Indicate the procedure side, ensuring that the details align with the surgical plan and the site being operated on.
6. Document the time of the pause in the designated field. This marks the official start of the time-out process.
7. Afterward, receive verbal confirmation from the surgeon by having them verify the patient identifiers provided earlier. Ensure that at least two identifiers are confirmed.
8. Have an assisting team member confirm the identifiers as well, ensuring enhanced patient safety during the procedure.
9. List the team members present in the operating room, including their names and applicable license numbers or titles, for accountability and record-keeping purposes.
10. Lastly, review all filled details for accuracy, then save your changes. You will have the option to download, print, or share the completed form as necessary.

Complete your Surgical Pause/ Time-Out Form online today to ensure safety and compliance during surgical procedures.