goodmorning sir ako po si keanu, nurse po na mag aassist sa inyo.

for Patient.
Can you tell your name please?
do you know What is the procedure are you having done today?
okay po so I need to double check that you have signed the consent form.

Do you know the surgical site of your operation?

Do you have any known allergies?

For the anesthesiologist.

Is the anesthesia machine and medication check complete?
is the pulse oximeter on the patient and functioning?
does the patient have risk for aspiration?
does the patient have a risk of blood loss?

time out. okay ready for time out.

-all team members to introduce yourselves by name and role.
to surgeon:
-please verbally confirm the patients name, what procedure, site and position are
planned.
-any expected blood loss?
-are there any specific requirements?
-are there any critical steps?
-has the antibiotic prophylaxis administered within the last 60minutes?
-is essential imaging displayed?

to anaesthetist:
-are there any anaesthetic concerns?
-what is the patient's ASA grade?
-is there any monitoring equipment is required?

to nursing team:
-has the sterility of the instrumentation been confirmed?
-are there any equipment issues or concerns?