Time-Out Briefing Card
The one-minute script the coordinator reads before skin incision. Pocket size when folded; four copies per sheet
What it is
A script card for the Time Out: what the coordinator says, in what order, and what each team member answers. Cut into four pocket cards.
Where to use it
In every scrub pocket; on the anaesthetic machine. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety. Evidence for: Hospital Standard 4 — surgical safety.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Surgical Safety Checklist
Surgical Safety Checklist — Implementation Guide
Have We Done the Time Out?
Checklist Compliance Audit Form
Print to share.
