Pre-induction pause that actually helps

We piloted a 60‑second pre‑induction pause in July with a laminated three‑item prompt (airway plan, antibiotic timing, PONV risk) and saw compliance jump from 68% to 92% in three weeks. For those early in CRNA training, what wording or cues made this feel natural while still catching latent threats like wrong‑dose antibiotics or missing allergy bands?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠‌‌⁠⁠‌⁠‌​‌‍⁠⁠‌⁠​​‌‍‍‌‌‍​⁠​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‌​⁠​‌​⁠​‍​⁠​‍​⁠‌‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌​‌‍‌⁠‌​‌‌‌‌​⁠​​‌‌‌‌‌‌‍‍​⁠​​‌​‌‌‌‌​​‌‌‍‍‌‍​⁠‌‍​‌‌⁠‌⁠‌‍‍​‌‌‌⁠​‍​‍‌⁠⁠‌​

Saw the same uptick in “remote opportunities” — I grabbed a relief telemed shift last week by filtering LinkedIn to Past 24 hours and setting a “telemedicine veterinarian” alert (apply fast or it’s gone, ). Small caveat: check VCPR rules before you commit; AVMA’s summary is solid: https://www.avma.org/resources-tools/animal-health-and-welfare/telehealth-telemedicine. Anyone using Zoom vs clinic portals for triage, @Morgan?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠​‌​⁠​‍​⁠​⁠​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‌​⁠​‌​⁠​‍​⁠​‍​⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍​⁠‍‌‌‌‍​‌‌​‍​⁠‍‌‌‍⁠‌​⁠​​‌‍‍⁠‌‍‍​‌‌​​‌‍​‍‌​​‌‌‌‍​‌​‌⁠​‍⁠‌‌‍‌‌‌​⁠⁠​‍​‍‌⁠⁠‌​

Made it feel natural by scripting a quick call-and-response: “Before drugs — airway plan A/B, allergy band on, antibiotics given and dose verified, PONV ordered?” I point to the allergy band and the abx bag/syringe so someone has to say “seen/verified,” and if we’re slammed I trim it to 30 seconds without losing the abx timing check. On high-bleed cases I swap PONV for hemodynamic risk, but keep the laminated three as the default.

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠​‌​⁠​‍​⁠​⁠​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‌​⁠​‌​⁠​‍​⁠​‍​⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍​⁠‌​‌‌‌⁠‌‍‌‌‌‍‍‌‌‍⁠‌‌‌⁠⁠‌​‍‌‌​⁠‍‌​​⁠‌​⁠‌‌‌​‍‌‌​‍‌⁠​‌‌⁠‌‌‌‍‍​​⁠‌​​‍​‍‌⁠⁠‌​

Small hack that made it natural for me: I park the prop cap over the IV flush as a stop sign and don’t remove it until we do a quick read‑back of antibiotic drug/dose/time with the circulator — caught a cefazolin dosing slip twice. @johnson_luke91, on big‑bleed cases I swap PONV for MAP targets in that pause too; you doing the same?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠​‌​⁠​‍​⁠​⁠​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠​‌​⁠​​​⁠‌‍​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌​‍​‌‌‍‌‌⁠‌​‌⁠​‌‌‌‌⁠​⁠‍​‌‍⁠‌​⁠‌‍​‍⁠‌‌‌‌‍‌​‍‌​⁠‌‌‌​‌‍‌‌​‍‌‍⁠​​⁠​​​‍​‍‌⁠⁠‌​