Final answer:
The circulator is responsible for reviewing the closure checklist and debriefing. The team reviews key concerns and performs a time out before the skin incision. The nurse reviews items aloud with the team, including procedure details and equipment issues.
Step-by-step explanation:
Prior to the patient being discharged from the OR, the circulator is responsible for reviewing the closure checklist and debriefing from for all aspects to be completed. This includes confirming the identity of the patient, reviewing critical events with the surgeon and anesthesia staff, and ensuring sterility and equipment availability with the nursing staff.
The key concerns for the recovery and care of the patient are reviewed aloud by the surgeon, nurse, and anesthesia professional. The nurse also reviews items aloud with the team, such as the procedure name, needle/sponge/instrument counts, specimen labeling, and equipment issues.
Before the skin incision, the entire team conducts a time out, where they verify the patient's identity, surgical site and procedure, and consent. They also evaluate the patient's airway and risk of aspiration, and confirm the administration of prophylactic antibiotics if needed.