What is your policy on marking of surgical site preop? Is a "time-out" consistently done prior to start of Sx with all staff present (surgeon, Anesthesiologist, OR Nurses, surgical assistant)?
The markings and time-out are now requirements of accreditation and are recommendations of a variety of professional bodies. So no it is not the LAW per say but hospital accreditation will depend on have a correct site surgery protocol in place which includes site marking and time out.
Dayle Allen-Ackley Clinical Educator Operating Rooms and Surgical Clinics Trillium Health Centre 100 The Queensway Mississauga Ontario
Our policy 'Surgical Site Verification' states "the surgical site must be marked with the surgeon's initials with an indelible , hypo-allergic, non-latex marker at or as close to the surgical site as posible" and "all health care providers must pause for the final verification check immediately prior to the incision/start of all procedures. This verification is called 'time out' and must be acknowldged by the surgeon/designate.
This policy pertains to the main OR and Surgical Day Care ORs.
3 comments:
We do time outs prior to start of Sx (in place for 2 years). Site of surgery is also marked by the surgeon preop while the pt is awake.
The markings and time-out are now requirements of accreditation and are recommendations of a variety of professional bodies. So no it is not the LAW per say but hospital accreditation will depend on have a correct site surgery protocol in place which includes site marking and time out.
Dayle Allen-Ackley
Clinical Educator
Operating Rooms and Surgical Clinics
Trillium Health Centre
100 The Queensway
Mississauga Ontario
Our policy 'Surgical Site Verification' states "the surgical site must be marked with the surgeon's initials with an indelible , hypo-allergic, non-latex marker at or as close to the surgical site as posible" and "all health care providers must pause for the final verification check immediately prior to the incision/start of all procedures. This verification is called 'time out' and must be acknowldged by the surgeon/designate.
This policy pertains to the main OR and Surgical Day Care ORs.
Daphne
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