Ophthalmic Surgery Timeout Checklist
Patient Verification
Patient identity confirmed
Procedure verified
Surgical site and laterality confirmed
Consent & Marking
Consent form present and signed
Surgical site marked (if applicable)
Preparation
Allergies checked
Preoperative drops given
Antibiotics administered (if required)
Implant/IOL details confirmed
Team Briefing
All team members introduced by name and role
Critical steps discussed
Special equipment/concerns addressed
Safety Checks
Anesthesia safety check complete
Patient monitoring in place
Sterility confirmed
Additional Notes
Signatures
| Surgeon |
|
| Nurse |
|
| Anesthetist |
|