Patient Identification
Universal Protocol
Informed Consent/RM
100

What do you do if a patient's information is not matching the records? 

You must STOP and restart from the beginning, ensuring you have the correct patient. 

100

Universal Protocol ensures... 

- correct patient identity 

- correct scheduled procedure, and 

- correct surgical site 

100

Incident Reporting system 

RL6 

200

What is the National Patient Safety Goal 1?

Correct patient identification 

200

Who marks procedural site? 

Site should be marked by licensed practitioner who will be present when procedure is performed. 

200

What is Just Culture? 

Staff reporting system vulnerabilities without fear of retaliation. 

300

What is the Methodology used prior to providing service to our patients? to ensure appropriate patient's identification

Ask, Match, Verify 

300

When is Time-out performed? 

IMMEDIATELY prior to initiation of procedure/making the incision. 

300

Consent is signed, but patient has a concern prior to entering surgical suite. What do you do? 

Contact Provider/Surgeon immediately prior to transferring patient to procedure/OR room. 

400

What are the steps to be followed on Ask, Match, Verify 

ASK patient to tell you their full name, and DOB.  

MATCH the patient's verbal information with the patient's Name and DOB on the ID Band. 

VERIFY the patient's name and DOB with your order, requisition or screen, medication, blood product, etc 

400

What are the elements within Universal protocol?

- Conduct a pre-procedure verification process 

- Mark site prior to incision 

- Time-out immediately before starting procedure 

400

What do you do if consent acquired for the wrong site? 

Inform physician - Must acquire new consent 

500

AORN? 

AORN - Association of Perioperative Nurses: Organization that uses evidence-based practice to promote care standards for perioperative nursing care. 

500

What is a Sentinel Event? 

Patient safety event (not primarily related to the natural course of the patient’s illness or underlying condition) that reaches a patient and results in death, or Permanent/severe harm.