AFFILIATE ORIENTATION MANUAL Time-Out Immediately before starting the procedure, the practitioner responsible for the procedure will initiate the time-out using the consent form (as applicable). When the time-out is initiated, all members of the team will stop activities, provide a quiet environment (i.e., radios turned off, phones not answered, conversations stopped, etc.), actively participate and verbally confirm the following information that must be reviewed: • Correct patient • Correct procedure • Correct site(s) and side(s) are marked When all affiliates have verbally confirmed the above to be correct, the practitioner may proceed. When more than one procedure is being performed by the same or a separate procedure team, a time- out must be performed for each procedure and/or procedural team. Once a time-out has been performed, if the practitioner leaves the room before the incision, another time-out must be performed. The circulator RN, anesthesia provider or practitioner responsible for the procedure should state during the time-out, “I see the site marking on the (state location of site marking),” or something to that effect when a site has been marked for a procedure. If the site is being re-marked after the original time-out has occurred, the entire surgical team will be involved in the re-marking and use the consent form. Within reason, all personnel intended to be involved in the procedure should be present during the time-out. TIME OUT/PRE-PROCEDURE Verification The 5 rights of medication administration are: • The right patient. • The right drug. • The right dose. • The right route. • The right time. MEDICATION ADMINISTRATION All drug containers shall be labeled and drug labels must be clear, consistent, legible and in compliance with state and federal requirements. There shall be a standard method for appropriately and safely labeling medications dispensed to both inpatients and outpatients. All medications or solutions prepared at the Cone Health campuses that are not administered immediately, must be labeled and include at a minimum: • Drug name. • Strength. • Amount (if not apparent from the container). • Expiration date when not used within 24 hours. • Expiration date when expiration occurs in less than 24 hours. • The date prepared and the diluent for all compounded IV admixtures and parenteral nutrition solutions. • Barcode unless medication is used in a procedural area. Medication LABELING 24