Where do I start
This step in the safe procedure process occurs prior to procedure start, sedation and anesthesia
What is the briefing
This step in the safe procedure process occurs immediately prior to access, incision
What the time out.
This step in the safe procedure process occurs prior to the proceduralist leaving the room.
What is the debriefing.
This is where all bedside procedures should be documented in Cerner.
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 components are 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 Cerner
Where 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.
These elements are reviewed in the patient's chart during preparation for bedside procedure.
What are allergies, imaging and labs
RN or procedural team member reads these components from the consent.
What is patient name, procedure and laterality (if applicable)
During the debrief this equipment review helps to prevent retained foreign objects
What is disposition of all hardware used
The RN documents all the procedural team member in this section
What is the time-out section of the bedside procedural record
This personal information should be left out when writing a Verge.
What are names of staff members involved in incident.
Communication occurs between these staff members regarding procedural needs (medication, equipment, specimen collection)
Who are the proceduralist and RN
This person initiates the time-out
Who is the proceduralist
This component of the 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 central line placement, when all safe bedside components have been documented under the bedside procedure band the RN must also activate this.
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
This assessment determines the risk of harm to the patient related elements such as open oxygen source
What is the fire risk assessment
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 all team members plan these elements 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.
Where is in Cerner under the central line band, insertion activity, "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.