The timeout is typically led by the circulating nurse once all staff members are present in the operating room (OR). The timeout assures safety through a "huddle" or another checkpoint of redundancy for each team member to agree with the plan and maternal and fetal status.The preoperative briefing is typically led by the obstetrician/surgeon.It includes reviewing patient information, procedure, indications, risk, medical history, fetal status, and type of anesthesia. The briefing reviews the plan ahead for patient care and the risks or concerns so that everyone has a shared mental model.Acceptable variations in the perioperative process for emergency cesarean sections.Roles of each staff member for the defined process to reduce variability from case to case and create redundancy at critical steps.The surgical team member charged with leading each step of the perioperative process.Involvement of all physicians and staff members engaged in the surgery.The unit procedures for this process should specify. 1,2 This perioperative process should be the standard approach used for ALL cesarean sections. Studies have found that the use of a standardized perioperative process with these three components (perioperative briefing, timeout, and signout) reduces surgical mortality and complications.Use a standardized perioperative process for cesarean section that includes the following three elements: Key Perinatal Safety Elements Standardize When Possible (CUSP Science of Safety) An example of a safe cesarean section checklist is provided in the Appendix of this tool.
Consider using preprinted checklists, laminated operating room posters, customized electronic health record tools, and staff simulation training to support implementation. Consider any existing facility policies, processes, or checklists related to cesarean section.
#Time out procedure checklist how to#
How to use this tool: Review the key perinatal safety elements with L&D leadership and unit staff to determine how elements will be implemented on your L&D unit. Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff responsible for intrapartum care. The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP). Purpose of the tool: This tool describes the key perinatal safety elements related to safe cesarean section.
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