Time out is conducted prior to skin Incision or introduction of scope?

All other activities are suspended (except in case of life-threatening emergency) during the time out?

During time out the procedure is identified, correct laterality if applicable is identified, and patient consent is verbalized?

Surgical Site is marked and visible ( if applicable)?

Relevant images properly labeled and displayed?

Checked implants are readily available?

Verbalized dry time for skin antiseptic has occurred (3 min.)?

Antibiotic prophylaxis ordered and started before incision?

Was a fire risk assessment protocol verbalized?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.