Author Question: A busy operating room has begun using time outs in an effort to reduce errors and promote patient ... (Read 74 times)

theo · **on:** Jul 8, 2018

A busy operating room has begun using time outs in an effort to reduce errors and promote patient safety. What action will the care team perform during a time out?

A) Systematically teaching the patient about the risks of surgery while the patient is still in the
preoperation area
B) Gathering each member of the surgical team to acknowledge and confirm that the correct
surgery will be performed on the correct patient
C) Pausing to review the patient's diagnosis and the indications for surgery
D) Completing a checklist that reviews the major areas for preoperative assessment and which
contains the patient's consent for the procedure

Question 2

A county hospital has recently implemented a practice change in which the SBAR technique is now used to communicate between nurses and physicians.

The nurse has contacted an
elderly patient's physician to report the patient's adventitious lung sounds and decreased oxygen
saturation. Which of the following statements best exemplifies the R component of the
SBAR tool?

A) Mr. Young has a do-not-resuscitate order.
B) Mr. Young's oxygen saturation is 86 on oxygen at 3 liters per minute by nasal prongs.
C) Mr. Young was admitted on January 14 with a diagnosis of failure to thrive.
D) I think that we should decrease Mr. Young's IV rate.

coyin · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: B
All relevant members of the team actively communicate during the time-out and
agree, at a minimum, that the patient identity is correct as is the site and the procedure to be
done. Time outs do not normally involve preoperative teaching, assessment, or review of the
patient's diagnosis.

Answer to Question 2

Ans: D
The SBAR tool consists of four components: situation (S), background (B),
assessment (0-A), and recommendation (R). A suggested course of action, such as reducing a
patient's IV rate, is an example of a recommendation. A patient's code status and original
diagnosis are examples of background and oxygen levels are assessment findings.