![]() ![]() Disposition of the patient should also be discussed. ![]() Additional information may include pregnancy test results, COVID-19 status, and coagulation studies. The usual patient identifying information, weight, and allergies are covered here. Patient-The patient information contained in the NORA checklist is very similar to that used in the OR.Our time-out checklist focuses on four essential categories: 1. Another possibility is the necessity of lung isolation for a procedure, which radiologists may forget to communicate to the anesthesia professionals ahead of time. For example, positioning for a Computerized Tomography (CT)-guided procedure may depend on an initial CT scan it is inconvenient to convert to prone positioning after the patient is already intubated and supine on the CT carriage. However, we recommend performing the time-out with the patient in the NORA location before induction of anesthesia, given potential idiosyncrasies of the procedures. For example, waiting until the patient is prepped and draped before initiating the time-out is common practice in the OR. Many aspects of a time-out checklist are similar for both the OR and NORA locations, but there are some elements unique to, or more crucial to emphasize, in the NORA location. The purpose of this review is to highlight important elements for designing and implementing a NORA checklist based on experience at our institution. 4 The added complexities of a remote location with unique physical set up and staff that may be unfamiliar with working in NORA locations make the time-out checklist even more important in establishing common ground to ensure optimal patient care. 2,3 In addition, studies have shown that patients receiving NORA tend to be older and have more comorbidities when compared to patients in the OR (operating room). The challenges of nonoperating room anesthesia (NORA) include ineffective team dynamics, remote location from assistance, unfamiliar procedures, and physical obstacles present in the work environment. 1 While these checklists are now ubiquitous in operating rooms, their adoption in other procedural areas is inconsistent, but no less important. Time-out checklists reduce morbidity and mortality from surgical procedures.
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