Your in "time out"
This is a hard stop safety-check for procedures prior to access, incision or instrumentation of the patient
What is a time out
A checklist to ensure safety precautions that includes patient identification, consenting the patient, surgical site marking, briefing, time out debriefing
What are the Key Elements of Safe Procedure
The entire team (including the patient) is to ensure the correct patient by asking to verbalize their full name and date of birth
Who is responsible for verifying the 2-patient identifier’s
An evaluation of a possible ignition or laser source.
What is a fire risk tool assessment
Witnessing a patient sign to confirm their identity
What is the role of the witness (RN, LPN, MA) when signing the consent
The surgeon/proceduralist and one clinical team member before and after the procedure to ensure they are the: correct patient, correct procedure/site, correct specimen collection and labeling, post procedure instructions for the patient and vital signs
Who is responsible for the Briefing/Debriefing
Time outs must be done for separate procedures on the same consent
What process needs to be done prior to proceeding with multiple safe procedures on the same patient
Marking with an indelible marker with proceduralist initials or use of an anatomical diagram if unable to perform this step.
What is surgical site marking
If a discrepancy occurs during briefing, time out, or debriefing, all care team members should do this
What is pause all procedures until discrepancy is resolved