Surgical Mistakes
When something about the surgery goes wrong, leading to harm, injury, or death to the patient
What are surgical mistakes?
Marks the surgical site
Who is the surgeon or licensed practitioner that will be performing the surgery
last checks that verify surgery can begin.
What is a surgical time-out?
Nurse's role of marking the surgical site
What is verifies site is marked?
Organization identified "surgical mistakes" as a NPSG?
What is the The Joint Commission
wrong site
wrong person
wrong procedure
What are the three types of surgical mistakes?
The best method of marking the surgical site
What are the surgeon's initials
in the operating room right before incision
When is a surgical time-out performed?
runs time-out
Who is the nurse?
pre-procedure verification process
marking the surgical site
surgical time-out
What is the universal protocol?
surgical mistakes most at risk
What are in cases of laterality (arms, legs, kidneys, eyes, etc.)
This phase of surgery is when the surgical site is marked?
What is the preoperative holding area?
the circulator nurse, scrub person, anesthesia provider, surgeon
Who participates in the surgical time-out?
This person states the procedure, laterality, and duration of the procedure
Who is the surgeon?
The goal of the universal protocol
What is to prevent surgical mistakes?
An event that can lead to temporary or permanent harm or even death.
What is a sentinel event?
single-use indelible ink surgical marker, a marker unable to be washed off
What is used to mark the surgical site?
right patient
right site
right procedure
allergies
medications
What does surgical time-outs verify?
Staffs' role if the wrong site is marked?
What is patient advocate - inform those who need to be informed
This is at the end of the procedure and affirms correct count, specimens, equipment issues, and wound class
What is a debrief?
Ways to prevent surgical mistakes
What are pre-procedure verification process
by marking the surgical site
by performing a surgical time-out
marking the surgical site is the most important
what are in cases of laterality?
This person ensures that all needed instrumentation/implants/devices are available, medications are on the field, and location of neutral zone
Who is the scrub person
If the surgeon delegates the role of marking the surgical sit to the nurse, can they mark it?
No
Reason to speak up
PATIENT SAFETY!!