1560 jaust hsksnsh hskshsjsh jsksksjs hdksjs

• In JULY 2004, The Joint Commission
enacted a UNIVERSAL PROTOCOL that
was developed through expert consensus
on principle and steps preventing:
Wrong – site
Wrong – procedure
Wrong – person surgery

• The Universal Protocol applies to all
accredited:
Hospitals
Ambulatory care
Office-based surgery facilities

• The Universal Protocol - designed to
ensure:
Correct patient identity
Correct schedule procedure
Correct surgical site

COMPONENTS:
1.A pre – procedure verification
process
2.Surgical site marking
3.Surgical “time out"

• IN PRE-OPERATIVE AREA:
PATIENT OR PATIENT REPRESENTATIVE
ACTIVELY CONFIRMS WITH THE NURSE:
PATIENT IDENTITY
PROCEDURE AND PROCEDURE SITE
CONSENT
SITE MARKED BY THE LEAD SURGEON

• SURGEON /PHYSICIAN IS THE
PERSON RESPONSIBLE IN OBTAINING
INFORMED CONSENT
• SURGEON IS THE PERSON
RESPONSIBLE IN SITE MARKING

HISTORY AND PHYSICAL
PRE-ANESTHESIA ASSESSMENT
NURSING ASSESSMENT
DIAGNOSTIC AND RADIOLOGIC TEST
RESULTS
BLOOD PRODUCTS
ANY EQUIPMENTS, DEVICES,
IMPLANTS

BETA BLOCKER MEDICATION GIVEN
VENOUS THROMBOEMBOLISM
PROPHYLAXIS
NORMOTHERMIA MEASURES

PERFORMED BEFORE INDUCTION OF
ANESTHESIA

• RN’S AND ANESTHESIOLOGIST CONFIRMS;
IDENTITY, PROCEDURE, PROCEDURE SITE, AND
CONSENT
SITE MARKED BY SURGEON
PATIENT ALLERGIES
PULSE OXIMETER ON PATIENT
DIFFICULT AIRWAY O ASPIRATION RISK
RISK OF BLOOD LOSS (>500 ML)
NUMBER OF UNITS AVAILABLE
ANESTHESIA SAFETY CHECK

• All members of the surgical team have
discussed the careplan and addressed the
concerns to the patient.

• Performed BEFORE skin incision
• Initiated by the designated team member
usually by the Circulating Nurse

• Introduction of team members
• All team members should:
Confirm: identity, procedure, site and consent
Site is marked and visible
Fire risk assessment and discussion
Relevant images properly labeled and displayed
Any equipment concerns

• SURGEONS – stated the following:
– Critical or non routine steps
– Case durations
– Anticipated blood loss
• ANESTHESIOLOGIST
– Antibiotic prophylaxis within 1 hour before incision
– Additional concerns like vital signs, body fluids, safety of patients during
surgery
• SCRUBS and CIRCULATING NURSE
– Sterilization indicators confirmed
– Additional concerns
– Documented completion of time out

• Verifications and correct patient positioning
• Availability of relevant documents, diagnostic
images, instruments and implants
• Need for pre-operative antibiotics and other
essential medications like the use of beta
blockers.

• Performed BEFORE patient leaves the
operating room

• RN’s confirms:
Name of operative procedure
Completion of sponges, sharp and instruments
counts
Specimen identified and labeled
Equipment problems to be addressed
Discussion of wound classification

1560 jaust hsksnsh hskshsjsh jsksksjs hdksjs

More Related Content

Similar to 1560 jaust hsksnsh hskshsjsh jsksksjs hdksjs (20)

Recently uploaded (20)

1560 jaust hsksnsh hskshsjsh jsksksjs hdksjs