POLICY PATROL
THE OR WARM-UP
SIGN HERE, DOCTOR
WHEN STANDARD MARKING WON'T WORK
DON'T CUT YET!
100

This is where I find policies

What is Ellucid?

100

This occurs occurs when the patient enters the OR /procedure room, before induction of anesthesia

What is the Sign-In/ pre- procedure?

100

This team member is responsible for the procedure to do the site marking

Who is the primary attending surgeon/dentist/podiatrist/proceduralist?

100

This is applied by the surgeon for patients who refuse marking, for neonates, and for a problematic site to mark.

What is a special purpose band?

100

The pre-incision timeout occurs after this and before that

What is draping and incision

200

This is where you can locate Ellucid (two answers)

What is Inside Health and Epic?

200

The sign-in occurs between the patient and these two team members

Who are the RN circulator and the anesthesia provider?

200

This is what the attending physician responsible for performing the procedure marks on the surgical site

What are the initials or last name? (pg. 4)

200

These four items must be written on the special-purpose wristband.

What are the first and last names, the second identifier, the anatomical site, and the name of the procedure?

200

Everyone must do this when starting the time-out.

What is pause?

300

This is the name of the policy to find site marking and time out standard

What is the Universal Protocol-Invasive Procedure Verification standard?

300

Which double identifiers are used for the sign-in?

What is the name and date of birth?

300

This needs needs to be added if the surgeon's initials are N.O.

What is the third initial?

300

This needs to be performed when the skin or alternative marking is not visible after draping

What is a preliminary time-out "Huddle"?

300

For Endo/GI cases, this is included in the time out. (3 answers)

What is the baseline abdominal assessment, confirmation that gas insufflation is CO2, and mandatory PPE?

400

This organization developed the time out

Who is the Joint Commission?

400

This must be stated by the anesthesia provider when the circulator is checking the ID band

What is the medical record number?

400

This must be visible after prepped and draped

What are the site marking initials?

400

The preliminary Time Out "Huddle" should be performed at this time so that everyone sees the marking

What is performed before draping? (pg. 10)

400

If the fire risk score is a 3, this must occur.

What is the discussion of the plan and roles of the team members in case of a fire?

500

This is another name for the time out

What is the Universal protocol?

500

The patient cannot be anesthetized until this conversation occurs between the surgeon and anesthesia provider

What is the plan of care?

500

This additional step is done for orthopedic procedures right before the prep

What is the circling of initials by the person performing the prep?

500

Skin marking may cause a permanent tattoo on these types of patients

Who are neonates?

500
These additional elements need to be stated if yes to anticipated specimens.

What is confirmation of medium and stat vs. routine?

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