Where do I start
This assessment determines the risk of harm to the patient related elements such as open oxygen source.
What is the fire risk assessment.
This step in the safe procedure process occurs immediately prior to the start of the procedure.
What is the time out.
This step in the safe procedure process occurs prior to the proceduralist leaving the room.
What is the debriefing.
The name of the navigator band in Cerner where all bedside procedures should be documented.
What is the bedside procedure record
Banner safety events should be submitted through this system.
What is Verge
This important document must be completed in all instances excluding emergent procedures
What is consent
These team members must be present during the time out.
Who is all team members
The RN must ensure these post-procedure orders are present/completed prior to using any new line.
What is imaging and "Ok-to-use" orders.
The RN documents that site marking has been completed in this section of the bedside procedure record.
What is the Pre-Procedure/Briefing band.
When a near miss or adverse/unexpected event is discovered, it is the responsibility of these staff members to submit a Verge event.
Who is any employee or medical staff member.
This step in the safe procedure process occurs prior to administration of sedation and anesthesia.
What is the briefing.
These components are read from the consent by the RN or procedural team member.
What is the patient name, procedure, and laterality (if applicable).
During the debrief, this review helps to prevent retained foreign objects.
What is disposition of all hardware used.
The RN documents all the procedural team members in this section of the bedside procedural record in Cerner.
What is the time-out section.
This personal information should be left out when writing a Verge.
What are names of staff members involved in incident.
During the Briefing, communication occurs between these staff members regarding procedural needs (medication, equipment, specimen collection).
Who are the proceduralist and RN.
This person should initiate the time-out.
Who is the proceduralist.
This step of debriefing ensures that the nurse has the appropriate orders for patient care post-procedure.
What are instructions: monitoring, vent settings, drips, medications, site care, activity restrictions.
After all safe bedside components have been documented for a central line placement, the RN must also activate this in Cerner.
What is the central line under lines tubes and drains.
This principle involves responding in a fair and consistent manner to adverse events and the people who are involved in them.
What is Just Culture Principles
During preparation for bedside procedure, these elements are reviewed in the patient's chart.
What are allergies, imaging and labs.
To avoid distraction and ensure participation from all team members, this must happen when initiating the time-out.
What is all activity stops.
During the debrief, these elements are planned related to specimens collected during the procedure.
What is specimen labeling, handling and transport.
After central line placement, this is where you document verification of guidewire removal in Cerner.
What is "All Hardware Intact and Removed".
These 3 event types should not be reported in the Verge Event System.
What are employee injuries/exposures, Patient/Family complaints, and Lost Patient Belongings.