Immediately before a bedside lumbar puncture, the nurse lead… | MyMerci
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NCLEX-RN MOC
Question

Immediately before a bedside lumbar puncture, the nurse leads the team through the Universal Protocol "time-out." Which best describes the required components of the time-out?

Explanation
The final time-out occurs immediately before the invasive procedure. The immediate procedure-team members stop other activity and actively communicate until they agree on, at minimum, the correct patient identity, correct site, and procedure. Any concern must be resolved before starting. A morning huddle, a provider announcement without team engagement, or a nurse's solo chart check does not replace the team time-out.
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In-depth explanation

Wrong-site, wrong-procedure, wrong-patient surgery is a sentinel event. The time-out is the final stop. The classic NCLEX trap is "the nurse already confirmed the patient earlier, so we can skip" — wrong; the time-out happens immediately before the procedure with the entire team actively participating.

Clinical scenario

The nurse is preparing for a bedside lumbar puncture. Per Joint Commission Universal Protocol, a pre-procedure time-out is performed by the entire team immediately before the procedure starts.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.