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Surgery Timeout Checklist 3'h x 2'w Magnetic Dry-Erase Whiteboard with Write-On Kit

HXTC32T
SURGICAL TIME OUT CHECKLIST
DATE:
MED. REC. #:
BEFORE 
ANESTHESIA
INDUCTION
PATIENT:
BEFORE 
SKIN 
INCISION
DATE OF BIRTH:
WEIGHT:
BEFORE 
PATIENT
LEAVES O.R.
PROCEDURE:
NO
YES
PATIENT POSITION
SURGEON
ASSISTANT
ANESTHESIOLOGIST
CRNA
SCRUB
CIRCULATOR
OTHER
#HXTC32M Surgical Time Out Checklist | Magnatag.com/HXTC | ©2019
1.
CONFIRMED PATIENT IDENTITY, 
SITE, PROCEDURE & CONSENT?
2.
IF APPLICABLE, IS THE SITE MARKED 
BY THE SURGEON?
3.
ANESTHESIA MEDICATION & 
EQUIPMENT CHECKED?
4.
PULSE OXIMETER ON THE PATIENT
AND FUNCTIONING?
5.
KNOWN ALLERGIES?
6.
DIFFICULT AIRWAY OR ASPIRATION RISK?
EQUIPMENT AND ASSISTANCE AVAILABLE?
7.
RISK OF > 500ML BLOOD LOSS?  IF YES, IV'S 
/CENTRAL ACCESS & FLUIDS PLANNED?
8.
SURGICAL TEAM INTRODUCTIONS 
AND ROLES?
9.
CONFIRMED PATIENT NAME, PROCEDURE
AND INCISION SITE?
10.
IF APPLICABLE, ANTIBIOTIC PROPHYLAXIS 
GIVEN WITHIN THE PAST 60 MINUTES?
11.
SURGEON:  CRITICAL STEPS, DURATION,
AND ANTICIPATED BLOOD LOSS?
12.
ANESTHETIST:  ANESTHESIA TYPE?
PATIENT-SPECIFIC CONCERNS?
13.
NURSING TEAM:  STERILITY CONFIRMED?
EQUIPMENT ISSUES OR CONCERNS?
14.
IS ESSENTIAL IMAGING DISPLAYED?
15.
NAME OF THE PROCEDURE
VERBALLY CONFIRMED?
16.
INSTRUMENT, SPONGE, AND 
NEEDLE COUNTS COMPLETED?
17.
SPECIMENS LABELED AND READ ALOUD, 
INCLUDING PATIENT NAME?
18.
WERE THERE ANY EQUIPMENT PROBLEMS
THAT NEED TO BE ADDRESSED?
19.
KEY CONCERNS FOR RECOVERY
AND PATIENT MANAGEMENT?
FIRE RISK 
ASSESSMENT
LOW
1
MED
2
HIGH
3
#HXTC32T
QuantityPrice
One1 @ $449
2 - 41 @ $437
5 - 91 @ $421
10 - 241 @ $409
25 +1 @ $395
Specifications
  • Size: 3' x 2'
  • Board Option: BoldLyne Frame
  • Frame Option: Silver
Related Items
#HXTC32MWith Magnets and Dry-Erase Tools
#HXTC32TWith Dry-Erase Tools
More Sizes
#HXTC32T3' x 2'
#HXTC43T4' x 3'

What comes with this item

HXTC32B
Qty: 1

3'h x 2'w framed, MagnaLux® porcelain-like steel whiteboard heat-fused printed for this system.

Qty: 1

Set(s) of 4 Dry-Erase Bullet-point board markers, 4 colors: Black, Red, Green, Blue

Qty: 1

Whiteboard Combination PandaBoard® Brand Felt Eraser and Pen-holder that magnetically clings to the steel board surface. Up to 4 pens clip into the eraser. Patented.

Qty: 1

Small-Spot™ Magnetic Whiteboard Eraser with built-in magnet, for exact-erasing small areas.

Qty: 1

8 oz. pump-spray bottle of PandaBoard® Brand Whiteboard Cleaner and Conditioner

Qty: 1

Pack of 5 large lint-free board wipes

Options to upgrade this item

    • FRM1
      FRM1
      BoldLyne Frame
      SELECTED
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    • TAC
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      + $169
    • S
      S
      Silver
      SELECTED
    • K
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      Black
    • C
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      Cherry
      + $32
    • TYA
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      + $23.09
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      + $55
    • LHB
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      + $33
    • ESL
      ESL
      Folding 4-leg Safety Easel
      + $345
    • PV
      PV
      PlanView SlidePanel