Emergency Medicine Mnemonics

IMPACTS: timeout mnemonic pre-procedure (your smooth professional timeout impacts everything)


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Procedure Timeout Mnemonic:

This mnemonic covers the key elements to verify before starting, ensuring patient safety and team communication. Here's what **IMPACTS** stands for:


1. **I – Identify**:

- **Verify the Patient's Identity**: Confirm the patient's full name, date of birth, and medical record number using their wristband and verbally with the patient if possible.


2. **M – Match the Procedure**:

- **Verify the Procedure Being Done**: State the exact name of the procedure to be performed. Ensure the team agrees, and that it matches the consent form and the patient's understanding.


3. **P – Position and Site**:

- **Verify the Correct Site, Side, and Patient Positioning**:

- Mark the **correct site** and **laterality** if applicable (e.g., right arm, left knee).

- Confirm the patient's **positioning** on the table (supine, prone) to avoid confusion during the procedure.


4. **A – Allergies**:

- **Confirm Allergies**: Double-check any known allergies (medications, latex, iodine) and ensure the team is aware so appropriate precautions can be taken.


5. **C – Consent**:

- **Verify Consent**: Ensure that **informed consent** has been obtained, signed, and documented. Confirm that the patient or guardian understands the risks, benefits, and alternatives to the procedure.


6. **T – Tools and Equipment**:

- **Check Equipment and Instruments**: Make sure all necessary instruments, tools, and medications are prepared, functional, and sterile. Have backup supplies ready as well.


7. **S – Staff Roles and Safety Concerns**:

- **Assign and Confirm Roles**: Ensure each team member knows their specific role during the procedure.

- **State Safety Concerns**: Allow a moment for the team to voice any concerns or potential issues before proceeding.


Using **IMPACTS** ensures that all the critical components are reviewed before starting a procedure, enhancing both patient safety and team coordination.

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Emergency Medicine MnemonicsBy Aaron Tjomsland

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