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.
Universal Protocol ensures...
- correct patient identity
- correct scheduled procedure, and
- correct surgical site
Incident Reporting system
RL6
What is the National Patient Safety Goal 1?
Correct patient identification
Who marks procedural site?
Site should be marked by licensed practitioner who will be present when procedure is performed.
What is Just Culture?
Staff reporting system vulnerabilities without fear of retaliation.
What is the Methodology used prior to providing service to our patients? to ensure appropriate patient's identification
Ask, Match, Verify
When is Time-out performed?
IMMEDIATELY prior to initiation of procedure/making the incision.
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.
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
What are the elements within Universal protocol?
- Conduct a pre-procedure verification process
- Mark site prior to incision
- Time-out immediately before starting procedure
What do you do if consent acquired for the wrong site?
Inform physician - Must acquire new consent
AORN?
AORN - Association of Perioperative Nurses: Organization that uses evidence-based practice to promote care standards for perioperative nursing care.
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.