You're 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 include patient dentification, consenting the patient, surgical site marking, briefing, time out, and debriefing.
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 identifiers?
The surgeon/proceduralist and All team members involved in the procedure.
What team members are required to be present during the time out procedure?
The care team and patient have a role to ensure a positive outcome by ensuring this.
What is identifying the Correct Patient, Correct Procedure, and Correct Procedural site or side?
Surgeon/proceduralist and one Banner clinical team member.
Who needs to be present for the briefing and debriefing?
A medical intervention to access the body through an incision, puncture of the skin, or instrument via a natural orifice
What is an invasive procedure?
A medical document that lists the procedure(s), informed consent, risks/benefits, patient, surgeon/proceduralist, and witness signatures.
What is a General Consent for Treatment or Procedures?
Discussion with surgeon/proceduralist and one Banner clinical team member after the procedure to ensure correct procedure/site was performed, correct specimen, correct medium, correct patient label, post procedure instructions for the patient, and post procedure vital signs reviewed.
Who is responsible for the 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?
The Banner Clinical Employee (RN, LPN, or MA) that is in the procedure with the surgeon/proceduralist.
Ad Hoc - Additional Assessment - Procedures/Treatment Amb
Who is responsible for documenting the safe procedure in Cerner?
An evaluation of a possible ignition or laser source.
What is a fire risk tool assessment?
Witnessing that the patient that is signing is the correct patient.
What is the role of the witness (RN, LPN, MA) when signing the consent?
Any clinical team member can initiate this part of the safe procedure.
Who is tasked with initiating the time-out?