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Keep your attention on the care encounter.
Record the conversation and clearly state your own findings and agreed actions.
Hysio Operating Theatre Nursing
AI Voice-Driven Reporting for operating theatre nurses
You say what happened in the holding area and during the procedure. Hysio organises it into an intake, procedure report or team handover.
Spoken care information from your care encounter
Operating theatre nursing
A structured report in your professional terminology
From care encounter to report
You work. Hysio documents.
Hysio turns spoken information into a report. Choose the report format for the conversation you are documenting.
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Suited to your work.
- Hysio Theatre Preoperative Nursing Intake
- Hysio Theatre Nursing Procedure Report
- Hysio Theatre Team Handover
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How Hysio fits into your workday
More attention for the conversation, less typing afterwards.
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You document the conversation
State relevant information, your own findings and agreed actions aloud so you can find them in your report.
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Hysio creates your report
The information appears under the headings of your chosen report format, so you can review each section.
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You review and copy the report
Check names, facts and agreed actions. Edit the text where needed before using the report in your records.
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Hysio Operating Theatre Nursing
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Quick answer Reports for operating theatre nursing 50 questions with cited sources
Quick answer
From holding area to sign-out: reports for the operating theatre
Three documentation formats for the perioperative process: intake in the holding area, procedure report and team handover.
This is how Hysio records the work in the operating theatre. You read every report back before it goes into the client's record.
- How does it work in the operating theatre?
- Hysio listens to what you say about the preoperative intake and the procedure and turns it into an intake or procedure report. That way of working is called voice-driven reporting, or AI documentation. There are three formats: Intake, Procedure Report and Team Handover. [3] [4] [5] [1]
- What stays separate?
- Team roles, time-out, counts, materials, implants and specimens each stay with their own source moment. [2] [12]
- Who decides what it says?
- You. With voice-driven reporting, the theatre report follows what the team said and did. You read it back, correct what is wrong, such as a count or a time, and then approve it. [1] [2]
- What does Hysio cost for an operating theatre nurse?
- For one operating theatre nurse, Starter costs €20 per month, excl. VAT. [6]
- Documentation formats 3 profession-specific documentation formats: Hysio Theatre Preoperative Nursing Intake, Hysio Theatre Nursing Procedure Report, Hysio Theatre Team Handover.
- Price Starter for €20 per month, excl. VAT
- Free trial General trial of 14 days
- Boundaries Hysio does not count itself, does not check a side and does not fill in missing lot numbers.
- Responsibility The operating theatre nurse reads the report back and finalises the text for the record.
Voice-driven reporting in the operating theatre
Which documentation formats are there for operating theatre nursing? #
There are three formats. The Preoperative Nursing Intake is for the conversation in the holding area. The Nursing Procedure Report follows the procedure itself. The Team Handover is for the next setting, such as the recovery unit. With voice-driven reporting, you say after the moment what happened, and you read the text back. [3] [4] [5] [1]
What goes into the Theatre Preoperative Nursing Intake? #
The Intake turns one conversation in the holding area or a direct dictation in the operating theatre into a preoperative intake report. There are fixed sections: summary, context and sources, data collection, professional assessment, follow-up and additional information. What you did not check stays open. Hysio does not set an indication. [3]
What does the Theatre Nursing Procedure Report record? #
The procedure report turns one dictation about the procedure into a report faithful to the source. Team roles, the time-out, your support, counts, materials, implants, specimens and the sign-out stay traceable per moment. Hysio does not count itself and does not check anything in your place. [4]
What goes into the Theatre Team Handover? #
The Team Handover turns a verbal handover or short dictation into a report for the next setting. Procedure, side, sign-out, anaesthesia and measurement sources, wound, lines, deviations, open actions and the receipt status stay separate per source and reference time. [5]
What do you discuss at the intake in the holding area? #
With the client, you check identity, procedure and side, and ask about allergies, fasting and medication. You also mention what you find in the record. Hysio puts it under the right headings and keeps the source with every item. What still needs to be checked stays open. [3]
What do you say for the procedure report? #
Name who had which role, when the time-out was and what was checked during it. Say which support you gave, which materials and implants were used and how the counts came out. Finish with the sign-out. Hysio puts it in the order of the procedure. [4]
What do you pass on in the team handover to the recovery unit? #
Say what was done, on which side, and what the sign-out showed. Mention wound, drains and lines, and any deviations. Say what still needs to happen. You state the anaesthesia data with the anaesthesia nurse as the source. [5]
How do you record identity, procedure and side at the intake? #
Say how you checked the identity and what the client said about the procedure and the side. Mention what is in the schedule or the record. If something does not match, both versions stay in. Hysio does not choose which one is correct. [3]
What does Hysio cost for an operating theatre nurse? #
Starter is €20 per month, excl. VAT, for one healthcare professional. How many procedures you record makes no difference to the price. When comparing with typing yourself, also count the reading back. You decide which text you transfer. [6]
Which privacy agreements apply when you use Hysio in the operating theatre? #
In the holding area, clients are often next to each other. So record where others cannot listen in. Only include what is needed for the care of this client. Your hospital decides who may read, edit and approve the report. [8]
In the operating theatre
Is operating theatre assistant a protected title? #
No. Operating theatre assistant is not mentioned in the Wet BIG. So there is no title protection: in the Netherlands anyone may call themselves an operating theatre assistant. In your report, you keep observation, interpretation and agreement recognisably apart, and the responsibility stays with you. [18] [16] [17]
What did the Zorginstituut advise in 2021 about the operating theatre assistant? #
On 25 May 2021, Zorginstituut Nederland advised not to include the operating theatre assistant in article 3 of the Wet BIG. According to the advice, the request did not meet all the criteria for a statutory regulation to protect the client. For your report, that changes nothing about the care you take. [19]
How did this process go for the anaesthesia nurse? #
A similar process took place for the anaesthesia nurse, with advice dated 10 March 2020. That did not lead to inclusion in the Wet BIG either. In your report, your own observation stays traceable. A conclusion you cannot substantiate, you leave out. [20]
How does the double higher education route to the operating theatre work? #
Via the technical stream of the HBO-V nursing degree, called HBO-PV since 1 March 2026. You complete the full bachelor's in nursing and an additional CZO-recognised curriculum for operating theatre assistant or anaesthesia nurse. You then hold the nursing degree, with BIG registration as a nurse, and the CZO diploma for operating theatre assistant. [18] [27]
What is a bachelor's in perioperative nursing? #
Whoever completes this bachelor's is a BIG-registered nurse and a qualified operating theatre assistant or anaesthesia nurse. In practice, you therefore work with two backgrounds. In your report, record what you saw and did yourself, with date and context. [27]
Is there also in-house training to become an operating theatre assistant? #
Yes. Part of the professional group, an estimated 5,000 operating theatre assistants in the Netherlands, came in through a four-year in-house hospital training, without a separate nursing degree. In your report, write down what really happened during the procedure, whatever your training route. [26]
What happens at the sign-out, the sixth safety pause? #
The sign-out is a mandatory team check before the client leaves the operating theatre. Among other things, the team counts swabs, instruments and disposables, and checks the handling of specimens and the handover information. The report states what was actually checked and by whom. [14] [15]
What is the preoperative planning meeting? #
The planning meeting is a separate process, step 3 of the guideline, in which the operating list is put together. Agreements from that meeting should appear recognisably alongside the other source information. Mention them in your intake with the meeting as the source. [13]
What changes with Hysio if you use voice-driven reporting in the operating theatre? #
Typing in the operating theatre often happens between two procedures, under time pressure. When you dictate, you briefly say what happened and Hysio organises it in the chosen format. Reading back stays your task. See whether you need to correct less and whether the recovery unit understands the handover well. [9]
How do you try Hysio for 14 days with practice procedures? #
Make up a few procedures, for example a short day case and a procedure with an implant. Record them as you would after a real procedure. Check whether counts, materials and the sign-out come back correctly. [7]
Time-out, counts and registration
Which laws does the theatre record rest on? #
On the WGBO, in book 7, section 5 of the Dutch Civil Code. Especially article 454 on the duty to keep a record and article 457 on professional confidentiality matter. For each procedure, only note what was established, and keep fact and assessment apart. [11]
Where do the safety pauses in the operating theatre come from? #
They go back to the WHO Surgical Safety Checklist, with sign-in, time-out and sign-out. In the Netherlands it was adapted into its own structure of safety pauses. For team handovers, for example to the recovery unit, many hospitals use SBAR. Show which information still needs to be checked. [21]
What do you record for implant registration? #
You record the manufacturer, the product number and the lot number of an implant. That matters if there is a recall later. State the numbers as they appear on the packaging. Hysio does not fill in a number and does not check anything against a list. [12]
Which information security standards apply in healthcare? #
The current standard from 2024 is the Dutch standard for an information security management system in healthcare. Existing certificates must move to the new version before 20 February 2027. NEN 7513:2024 is about logging actions on personal data. These are requirements for organisations and systems, not for your report. [23]
How do you record the counts of swabs and instruments? #
For each count moment, state what was counted, by whom and what the result was. Hysio does not count itself and only adopts what you say. If a count does not add up, say so literally. That way the report stays honest and can be checked. [3]
How do you note wound, drains and lines in the handover? #
For each item, state what is in place, where and in what condition. Also say what the next setting needs to check. Hysio adds nothing you did not mention. In the team handover it goes under current care. [5]
How do you record allergies and fasting status in the holding area? #
State what the client says and what you find in the record, each with its source. Say if something could not be verified. Hysio does not conclude whether someone has fasted. That judgement stays with the team. [3]
How do you register an implant in the procedure report? #
State the implant, the manufacturer, the product and lot number and the moment of placement. Say who passed it on. Hysio adopts the numbers as you state them. Then read them back extra carefully against the packaging or the sticker. [4]
Does Hysio put the procedure report into the record itself? #
No, there is no link with your hospital's record. After reading back, you transfer the text yourself. Then check that you have the right client and procedure. Otherwise follow the agreements of the operating theatre complex. [10] [9]
How do you read back a Hysio report of a procedure? #
Read the report from top to bottom and compare it with the count, the stickers and your notes. Are roles, times and numbers right? Admin with AI takes over the typing, but this check stays with you. [9]
Implants, sterility and boundaries
What are zibs and the Basisgegevensset Zorg in the operating theatre? #
The nursing procedure text uses health and care information models (zibs) from Zibs 2024 and the Basisgegevensset Zorg, the national minimum client summary. They cover general data, but not every detail of a theatre procedure report. In your report, it stays clear what you heard, saw and did yourself. [24]
What does the receipt status in the team handover mean? #
It shows whether the next setting has already received the handover. When recording, say to whom you handed over, on which ward and at what time. Hysio does not write that something was received if you do not mention it. If the handover has not yet taken place, it says so too. [5]
What do you do if the intake does not match the schedule? #
Note both, each with its source: what the client says and what the schedule shows. Hysio does not choose a version. Put the difference down as an open point, so that the team discusses it before the procedure starts. [3]
How do you record the time-out? #
State when the time-out was, who was present and which points were checked. A point that was not discussed, you do not state as checked. Hysio does not complete the list. That way the time-out is represented honestly. [4]
How do you keep anaesthesia and measurement sources apart in the handover? #
For each value, state who or what the source is: the anaesthesia nurse, the monitor or your own measurement. Hysio keeps those sources apart. That way the recipient knows where each item comes from. [5]
Can you dictate the intake directly in the operating theatre? #
Yes. The Intake can start from a conversation in the holding area or from a direct dictation in the operating theatre. Say which of the two it is, because that determines how a colleague reads the report. State what you checked with the client yourself and what comes from the record or the schedule. [3]
How do you note team roles and changes during the procedure? #
State who had which role and when someone changed over. At a changeover, also say what was handed over. Hysio puts the roles at the right moment. That way it can be traced afterwards who did what. [4]
How do you pass on a deviation to the next setting? #
Describe what deviated, when, and what was done. Name who assessed it. Hysio does not interpret the deviation. In the team handover it goes under deviations, with the open actions. [5]
How do you correct an error in a Hysio theatre report? #
First find out whether the error was in your dictation or in the organisation of the text. Only adjust that part. If it also appears in the team handover, correct it there too. Hysio never makes a substantive choice itself. [9]
What do you do with an unclear part of your dictation? #
Do not guess, certainly not with a count or a lot number. Check it with the circulating or scrub nurse who was there. Voice-driven admin works best with short dictations straight after each safety pause. A gap is safer than a guess. [9]
Practical choices in your working day
How much time in healthcare goes to documentation? #
In client-facing professions, administration mainly consists of documenting care, accounting for about 19% of total working time. That is a sector figure and says nothing about your working day. Record your own observation and the follow-up, with the date. [25]
What does time pressure mean in a full operating list? #
In a full list there is little room to learn a new tool, even if it saves time in the long run. Before a hospital allows speech or AI support in the operating theatre, preconditions apply, such as the current security standard, logging under NEN 7513 and a data processing agreement. Ask your organisation about those agreements. [22] [11]
How do you record the follow-up after the intake? #
Only state what was really agreed, such as an extra check or a question for the anaesthetist. An open question stays open. Hysio does not turn an idea into an agreement. Name who takes something up, if that is known. [3]
How do you record specimens and how they are handled? #
State which specimen was taken, how it was labelled and where it is going, for example to pathology. Say who checked it and when it left the operating theatre. Hysio does not add any label data. Read this part back extra carefully, because an error in a label is hard to put right. [4]
How do you keep the team handover short? #
Only record what the next setting needs now: what was done, how the client is doing and what still needs to happen. The details are already in the procedure report. The Team Handover has fixed headings, so that nothing important is missing and the colleague in the recovery unit can start quickly. [5]
What do you do with information from the ward at the intake? #
Name the ward as the source, for example the nurse who brought the client. What you check yourself, you state separately. Hysio does not turn their information into a check of your own. That way it stays clear what you have already checked. [3]
How do you record a count discrepancy? #
Say literally what did not add up, at which count moment, and what the team then did. Name who decided on the follow-up. Hysio does not fill anything in and does not make the count balance. Otherwise follow the procedure of your operating theatre complex. [4]
How do you use SBAR in the team handover? #
Say it in this order: the situation, the background, your assessment and what needs to happen. Hysio keeps that order in the fixed headings. An assessment you do not state, Hysio does not add. [5]
How do you measure whether voice-driven reporting saves time in the operating theatre? #
Keep track for a few days of how long reporting takes, including reading back. Then do the same with Hysio for comparable procedures. AI reporting is only a gain if the report stays at least as complete. So also look at counts and numbers. [9]
How do you start with Hysio in the operating theatre complex? #
Start with one format, for example the team handover, and practise with made-up procedures. Agree with your organisation who approves reports and how you handle privacy. Evaluate after a few weeks. Then expand step by step. [9] [8]
Sources
- 1 Hysio: Beroepsprofiel OK-verpleegkunde (interne Hysio-documentatie) Document date: 2026-08-09 Accessed on 2026-08-31
- 2 Hysio: Beroepsprofielonderzoek OK-verpleegkunde (interne Hysio-documentatie) Document date: 2026-08-09 Accessed on 2026-08-31
- 3 Hysio: Hysio OK Preoperatieve Verpleegkundige Intake (interne Hysio-documentatie) Document date: 2026-08-25 Accessed on 2026-08-31
- 4 Hysio: Hysio OK Verpleegkundig Verrichtingsverslag (interne Hysio-documentatie) Document date: 2026-08-25 Accessed on 2026-08-31
- 5 Hysio: Hysio OK Teamoverdracht (interne Hysio-documentatie) Document date: 2026-08-25 Accessed on 2026-08-31
- 6 Hysio: Actuele Hysio-prijzen (interne Hysio-documentatie) Document date: 2026-08-26 Accessed on 2026-08-31
- 7 Hysio: Actuele algemene proefperiode (interne Hysio-documentatie) Document date: 2026-08-26 Accessed on 2026-08-31
- 8 Hysio: Hysio Privacyverklaring (interne Hysio-documentatie) Document date: 2026-07-15 Accessed on 2026-08-31
- 9 Hysio: Hysio Disclaimer (interne Hysio-documentatie) Document date: 2026-07-15 Accessed on 2026-08-31
- 10 Hysio: Hysio-grens voor elektronische dossiers (interne Hysio-documentatie) Document date: 2026-07-15 Accessed on 2026-08-31
- 11 Overheid.nl: Burgerlijk Wetboek Boek 7, afdeling 5 (WGBO) Document date: 2026-08-26 Accessed on 2026-08-31
- 12 IGJ: Toetsingskader perioperatief traject Document date: 2026-08-26 Accessed on 2026-08-31
- 13 Richtlijnendatabase: Stap 2, preoperatief anesthesiologisch onderzoek Document date: 2026-08-26 Accessed on 2026-08-31
- 14 Richtlijnendatabase: Stap 6, aankomst op operatiekamer Document date: 2026-08-26 Accessed on 2026-08-31
- 15 Richtlijnendatabase: Stap 9, cliënt verlaat de operatiekamer Document date: 2026-08-26 Accessed on 2026-08-31
- 16 LVO: Het beroep van operatieassistent Document date: 2026-08-26 Accessed on 2026-08-31
- 17 LVO: Beroepsprofiel van de operatieassistent 2023 Document date: 2026-08-26 Accessed on 2026-08-31
- 18 CZO: Vanaf 1 maart hbo-vt operatieassistent en anesthesiemedewerker worden hbo-pv Document date: 2026-08-26 Accessed on 2026-08-31
- 19 Zorginstituut Nederland: Advies, Operatieassistent in artikel 3 van de Wet BIG Document date: 2026-08-26 Accessed on 2026-08-31
- 20 Rijksoverheid: Kamerbrief over Advies Zorginstituut Nederland opname operatieassistent in Wet BIG Document date: 2026-08-26 Accessed on 2026-08-31
- 21 WHO: Surgical Safety Checklist, implementatiehandleiding Document date: 2026-08-26 Accessed on 2026-08-31
- 22 NEN: Informatiebeveiliging in de zorg (NEN 7510) Document date: 2026-08-26 Accessed on 2026-08-31
- 23 NEN: NEN 7513:2024 Document date: 2026-08-26 Accessed on 2026-08-31
- 24 Nictiz: Basisgegevensset Zorg Document date: 2026-08-26 Accessed on 2026-08-31
- 25 CBS: Bijna een derde van werktijd in zorg en welzijn gaat op aan administratie Document date: 2026-08-26 Accessed on 2026-08-31
- 26 Nictiz: Verpleegkundige overdracht 4.0 (Minimale eOverdracht) Document date: 2026-08-26 Accessed on 2026-08-31
- 27 Fontys Hogeschool: Perioperatieve Verpleegkunde, bachelor voltijd Document date: 2026-08-26 Accessed on 2026-08-31
Hysio creates the report. You remain responsible for what you save in the record.