Consensus Reports and Recommendations to Prevent Retained Surgical Items
|
|
- Stella Long
- 6 years ago
- Views:
Transcription
1 Consensus Reports and Recommendations to Prevent Retained Surgical Items Summary by the Institute for Population Health Improvement, UC Davis Health System Category Items included in surgical count When counts are performed Sponges/soft goods [1-9], sharps [1-8], misc. items [1-8], instruments [1-5, 7, 8] Prior to procedure: -When instruments/sponges are opened [5] -Baseline (before patient enters surgical suite) [2-5, 7, 8] During procedure: -Before closure of a cavity within a cavity [2-5, 7, 8] -Before wound closure [2-5, 7-9] End of procedure: -Final (post-procedure) [3-5, 7, 8] Additional counts performed: -Any time any team member has concern over the accuracy of the count [3, 4, 6, 8] -If any additional items are added to the field intra-operatively [2-4, 6, 7] -When closure of a wound is temporarily delayed [8] -When there is a permanent change in the circulating RN or scrub person [2-4, 6-8] -When temporary implants or packing are used [8] -When a wound is closed temporarily with a non-radiopaque item [8] -Immediately before delivery pack is used [6] -At the end of delivery [6] Counting procedure Count and record: -Two individuals (e.g., circulating RN and scrub technician) directly view items and count audibly [2, 5-8] -Documentation of all counts on whiteboard or visible format [3, 4, 6, 8] -Surgeon must receive verbal confirmation of correct or incorrect counts [2, 3] -Time-out during final count [5] Order of count: -Order of item counting sequence is standardized [2-5, 7, 8] -Counts begin at surgical field and move away from patient [8], e.g., surgical field, Mayo stand, back table, round basin, kick bucket(s), discarded/bagged sponges [2-4] -Order of counting of types of sponges should be standardized (e.g., smallest to largest) [2] 1
2 Item management during the count: -Sponges/soft goods separated, un-balled and counted individually [2, 6, 8] -Sponges should be placed in clear bag while performing final counts [4, 5] -Sponges/soft goods have visual verification that radiographic detectible indicator is present [6, 8] -Instruments are counted in sets [4, 8] -Use of numbered sponges and instruments [4, 5] -Used sharps are placed into needle box and counted [4, 6] -Soft goods used as therapeutic packing should be communicated and have standard practice for eventual removal [4, 7] -Facility has process for managing precipitous deliveries [4, 6] Management of surgical items Requirements: -Use of radiopaque items only [1-3, 5-7, 9] -Use of preformatted whiteboard for counts [4, 8] -Kick buckets/receptacles should be lined with clear plastic bags [4] Maintenance and instructions for use: -Instruments and sharps are to be inspected for broken or missing pieces [4, 6-8] -Sponges/soft goods should not be altered or cut in any way [2-4, 7, 9] -Radiopaque items/sponges should not be used for dressing [2, 4] -Prepackaged sterile items should be counted using standard practices prior to use, not assumed to be correctly counted [3] Post-procedure management: -All counted items must remain in surgical suite until counts are reconciled [2-8] -Any counted items accompanying patient out of surgical suite should be communicated and documented [6-8] -All counted items must be removed from surgical suite after all counts are reconciled [2, 3, 6, 8] -Whiteboard cleaned at end of procedure [8] 2
3 Required documentation When a count may be waived -All counts [1, 3, 6-8] -Specific information: types of counts, number of each item, names and titles of surgical team members performing counts, results of counts [2] -Count results as correct, incorrect, or miscount (discrepancy during an interim count but reconciled by final count) [4] -Any items added to surgical field [3, 8] -Actions taken to reconcile count discrepancy [1, 2, 4, 6, 7] -Explanation for counts not performed [2, 4] -Relief personnel [3] -Items and instructions for items left as packing or remaining in patient after procedure [1, 6, 8] -Defects or packaging error of surgical items, medical device or instrument fragments [4] Situational determination: -Suspension of protocol in life-threatening situations [1] -Facility defined situations (e.g., cystoscopy and ophthalmology procedures) [2] -Emergency procedures (e.g., trauma, abdominal aortic aneurysm, Cesarean section) [2, 3] -Procedures that utilize a large number of surgical items that prohibits an expeditious and timely count (e.g., major joint replacement) [3] Interventional radiology procedures only: -If a thorough visual and tactile search of the incision or cavity is completed, no count is required [9] Recommendation for imaging: -If patient condition does not permit counting, perioperative and further postoperative imaging should be taken [6, 8] For instrument counts only: -Facility defined situations (e.g., complex procedure involving a large number of instruments, trauma, procedures requiring large number of instruments with small parts, and procedures where the incision is too small to retain an instrument) [7] Methodical wound examination Wound exploration: -Required prior to closure of wound [1, 3-5, 8, 9, 16] -Required in the case of an incorrect count [2, 7] -Genital tract explored in case of incorrect count [6] 3
4 Count discrepancy protocol Notification: -Circulator or scrub nurse reports number and type of item missing to surgical team [2, 4, 6-8] Search: -Wound closure suspended [3, 4, 7, 8] -Wound/cavity exploration is performed [2-4, 6-8] -Manual and visual inspection of sterile field and surgical suite is conducted [2-4, 6-8] -Count is repeated and verified [6, 8] Recommendation for further measures: -Imaging obtained if count remains incorrect [2-4, 6-8] Imaging requirements During procedure, portable intraoperative imaging required prior to wound closure if: -Incorrect count [2-4, 6, 7] -Patient condition does not allow for count [3, 4, 6, 8] -Surgical team member has concerns about count accuracy [6, 8] -Initial sponge count could not be performed (e.g., in emergency procedure) [2] -High risk for RSIs (e.g., emergency procedures in a body cavity, more than one team involved, nursing staff change, blood transfusions >4 units red blood cells, morbidly obese patients, bariatric patients, long procedures, conversion from laparoscopic to open) [3, 5] -Procedure utilizes large number of surgical items that prohibits an expeditious and timely count [3] -Wound closure delay [8] -Open wound packing [8] After procedure, postoperative imaging required if: -Not necessary if counts are reconciled [8] -Closing radiography recommended for all patients [5] -Patient condition does not allow for intraoperative imaging [6, 8] -Entire anatomic area was not included in portable imaging [6, 8] -Intraoperative imaging failed to locate the item [4, 6, 8] Interventional radiology procedures only: -Fluoroscopy required if visual and tactile search cannot be performed or there s concern of possible retention of a needle or instrument [9] Specific requirements for imaging: -Imaging requests must be sent to the radiologist with detailed information [2-4, 7, 8] 4
5 -Information includes: number and type of missing item, patient location and status, callback number and physician name [6, 7] -Radiologist must obtain, process and make available the imaging within 30 minutes of the request [3, 4, 7, 8] -Radiologist provides results and two views of the region for each imaging request looking for a missing item [4] -Mechanism of communication between radiologist and surgical suite necessary [3, 8] -Post-delivery imaging required if a count is not reconciled [6] Adjunct technology suggested Safe environment Ongoing education Policies and procedures -Radiofrequency identification (RFID) systems [1, 4, 5] -Computer assisted counting method (e.g., bar coding) [1, 4, 5, 7] -Maintain optimal focused surgical environment free of distractions and interruptions [1] -Promote and maintain collaborative and ethical work environment [5] -Develop a staff education model with ongoing training and feedback for OR staff consistent with national criteria [4-7] -Policies and procedures for preventing RSIs should be developed, monitored, measured, reviewed, revised, and readily available [1, 4, 6, 7] 5
6 References 1. American College of Surgeons, [ST-51] Statement on the prevention of retained foreign bodies after surgery, in Bulletin of the American College of Surgeons, 2005, American College of Surgeons. 2. AST Education and Professional Standards Committee, Recommended Standard of Practice for Counts, 2006, Association of Surgical Technologists. 3. Veterans Health Administration, Prevention of Retained Surgical Items, in VHA Directive, 2010, Veterans Health Administration: Washington, DC. 4. Gibbs, V.C., NoThing Left Behind: Prevention of Retained Surgical Items Multistakeholder Policy v5, 2013, NoThing Left Behind. 5. Agency for Healthcare Research and Quality, PSI 5: Foreign Body Left in During Procedure, in AHRQ Quality Indicators Toolkit, 2011, Agency for Healthcare Research and Quality. 6. Institute for Clinical Systems Improvement, Prevention of Unintentionally Retained Foreign Objects During Vaginal Deliveries, in Health Care Protocol, 2012, Institute for Clinical Systems Improvement. 7. Association of perioperative Registered Nurses, Recommended Practices for Prevention of Retained Surgical Items, in Perioperative Standards and Recommended Practices, R. Conner, et al., editors. 2012, AORN, Inc.: Denver, CO. p Institute for Clinical Systems Improvement, Prevention of unintentionally retained foreign objects in sugery, in Health Care Protocol, 2007, Institute for Clinical Systems Improvement. p Statler, J.D., et al., Society of Interventional Radiology position statement: prevention of unintentionally retained foreign bodies during interventional radiology procedures. J Vasc Interv Radiol, (11): p Egorova, N.N., et al., Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg, (1): p Lutgendorf, M.A., et al., Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med, (6): p Garry, D.J., S. Asanjarani, and D.M. Geiss, Policy for prevention of a retained sponge after vaginal delivery. Case Rep Med, : p Kaiser, C.W., et al., The retained surgical sponge. Ann Surg, (1): p Greenberg, C.C., et al., The frequency and significance of discrepancies in the surgical count. Ann Surg, (2): p France, D.J., et al., Emergency physicians' behaviors and workload in the presence of an electronic whiteboard. Int J Med Inform, (10): p Whang, G., et al., Left behind: unintentionally retained surgically placed foreign bodies and how to reduce their incidence--pictorial review. AJR Am J Roentgenol, (6 Suppl): p. S
Department of Veterans Affairs VHA Directive Washington, DC March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS
Department of Veterans Affairs VHA Directive 1103 Veterans Health Administration Transmittal Sheet Washington, DC 20420 March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS 1. REASON FOR ISSUE: This Veterans
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.13.28 Responsible Vice President: EVP & CEO Health System Subject: Patient Risk, Treatment, and Safety Responsible Entity:
More informationSurgical counts are an established routine. An OR nurse performs them dozens
Patient safety Human factors, education help sharpen the OR count process Surgical counts are an established routine. An OR nurse performs them dozens of times a month. But when you dissect the process
More informationPrevention of Unintentionally Retained Foreign Objects During Vaginal Deliveries
Health Care Protocol: Prevention of Unintentionally Retained Foreign Objects During Vaginal Deliveries Fourth Edition January 2012 The information contained in this ICSI Health Care Protocol is intended
More informationPurpose/goal. Statementt. Objectives After. Requirements. Sponsorship. reading this. 2. Read and. review the. completion. This activity was.
INSTRUCTIONS & DISCLOSURE STATEMENT Course 10: Perform Sponge, Sharp, and Instrument Counts Purpose/goal Statementt The purpose of this chapter is to describe the perioperative nurse s role in preventing
More informationValidation of Surgical Sponge Counts Using Technology
CME ONLINE Validation of Surgical Sponge Counts Using Technology An Online Continuing Medical Education Activity Sponsored By Grant Funds Provided By Welcome to Validation of Surgical Sponge Counts Using
More informationSARASOTA MEMORIAL HOSPITAL POLICY
PS1013 SARASOTA MEMORIAL HOSPITAL POLICY TITLE: PREVENTION OF RETAINED SURGICAL ITEMS: SOFT GOODS, SHARPS AND INSTRUMENTS EFFECTIVE DATE: REVIEW/REVISED DATE: POLICY TYPE: Job Title of Responsible Owner:
More informationDepartment of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC April 3, 2006
Department of Veterans Affairs VHA DIRECTIVE 2006-018 Veterans Health Administration Washington, DC 20420 PREVENTION OF RETAINED SURGICAL ITEMS 1. PURPOSE: This Veteran Health Administration (VHA) Directive
More informationSurgery Road Map. General practices. Road map sections
Surgery Road Map MHA s road maps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality improvement programs,
More informationPreventing unintended retained foreign objects
A complimentary publication of Issue 51, October 17, 2013 The Joint Commission Preventing unintended retained foreign objects Published for Joint Commission accredited organizations and interested health
More informationPOLICY - JOB AID NoThing Left Behind : Prevention of Retained Surgical Items Multi-Stakeholder Policy
POLICY - JOB AID NoThing Left Behind : Prevention of Retained Surgical Items Multi-Stakeholder Policy 2015 Verna C. Gibbs M.D. all rights reserved February 2015 San Francisco, California NoThing Left Behind
More informationNoThing Left Behind The Prevention of Retained Surgical Items Multi-Stakeholder PolicyJob Aid-Reference Manual
NoThing Left Behind The Prevention of Retained Surgical Items Multi-Stakeholder PolicyJob Aid-Reference Manual ã2018 Verna C. Gibbs M.D. all rights reserved July 2018 San Francisco, California NoThing
More informationPrevention of Retained Foreign Objects
Prevention of Retained Foreign Objects Jane Kennedy RN, BSN, MBA, CNOR Senior Consultant Cardinal Health Objectives Discuss the impact, consequences, and contributing factors of retained foreign objects
More informationEnhancing Patient Safety through Team Work and Communication Strategies
Enhancing Patient Safety through Team Work and Communication Strategies St. Joseph Medical Center- Towson Maryland Program/Project Description. In July 2009, Catholic Health Initiatives, of which St Joseph
More informationDEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL COMMAND 2748 Worth Road JBSA Fort Sam Houston, Texas
DEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL COMMAND 2748 Worth Road JBSA Fort Sam Houston, Texas 78234-6000 MEDCOM Regulation 21 January 2015 No. 40-49 Medical Services SURGICAL COUNTS
More informationSPONGE ACCOUNTing SYSTEM AUDIT TOOL
Verna C. Gibbs M.D. NoThing Left Behind SPONGE ACCOUNTing SYSTEM Nurses use a standardized process to put sponges in hanging plastic holders and document the counts on a wall-mounted dry-erase board in
More informationWebinar SURGICAL OBJECT SURVEILLANCE. Kyung Jun, RN, MSN, CNOR January 22, 2014
Webinar SURGICAL OBJECT SURVEILLANCE Kyung Jun, RN, MSN, CNOR January 22, 2014 TITLE Please vote for best title regarding preventing retained surgical item SOS : Surgical Object Surveillances? What Goes
More informationBECAUSE.. RSI are considered to be NEVER EVENTS and the Incidence is STILL > ZERO
HOSPITALS BECAUSE.. RSI are considered to be NEVER EVENTS and the Incidence is STILL > ZERO Culture Trumps Strategy: Implementation Barriers in RSS Prevention Verna C. Gibbs MD Director, NoThing Left Behind
More informationYour facility is having a baby boom. The number of cesarean births is
Clinical management Ensuring a comparable standard of care for cesarean deliveries Your facility is having a baby boom. The number of cesarean births is exceeding the obstetrical unit s capacity. Administrators
More informationWhat we have learned:
What we have learned: Perception Nursing Process Observations Nurses place undue reliance and trust in the count. Each individual nurse is sure that his/her count is correct yet there are retained sponges.
More informationAccreditation Program: Hospital Chapter: National Patient Safety Goals
Universal Protocol Accreditation Program: Hospital Chapter: National Patient Safety Goals The organization meets the expectations of the Universal Protocol. UP.01.01.01 Conduct a pre-procedure verification
More informationTo provide protocol for medication and solution labeling to ensure safe medication administration. Unofficial Copy
SUBJECT: MEDICATION / SOLUTION CONTAINER LABELING PURPOSE: To provide protocol for medication and solution labeling to ensure safe medication administration. POLICY: All medications, medication containers
More informationNoThing Left Behind The Prevention of Retained Surgical Items Multi-Stakeholder PolicyJob Aid-Reference Manual
NoThing Left Behind The Prevention of Retained Surgical Items Multi-Stakeholder PolicyJob Aid-Reference Manual ã2018 Verna C. Gibbs M.D. all rights reserved July 2018 San Francisco, California NoThing
More informationJOB DESCRIPTION: SURGICAL TECHNOLOGIST
1507.00. JOB DESCRIPTION: SURGICAL TECHNOLOGIST 1507.01. The Standards & Guidelines for the Accreditation of Educational Programs in Surgical Technology have been approved by the Association of Surgical
More informationSURGICAL SAFETY CHECKLIST
SURGICAL SAFETY CHECKLIST WHY: INFORMATION, RATIONALE, AND FAQ May 2009 Building a safer health system INFORMATION, RATIONALE, AND FAQ May 2009 - Version 1.0 The aim of this document is to provide information
More informationSAMPLE Perioperative Self-Assessment Questionnaire
SAMPLE Perioperative Self-Assessment Questionnaire Hospital Name: Person Completing the Assessment: Date: I. Executive Leadership Yes No 1. Do executive leaders have a defined mode of regular communication
More informationNever Events (Including Retained Foreign Objects) The Surgeons Point of View. J.H. Pat Patton, Jr., MD, FACS Henry Ford Hospital, Detroit, MI
Never Events (Including Retained Foreign Objects) The Surgeons Point of View J.H. Pat Patton, Jr., MD, FACS Henry Ford Hospital, Detroit, MI 1 Disclosures None 2 Learning Objectives Examine the occurrence,
More informationOR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment
ACCREDITATION STANDA RDS INTRAOPERATIVE CARE OR staffing supports the provision of safe perioperative patient care and promotes a safe perioperative environment A minimum of two perioperative nurses are
More informationIMPLEMENTING QSEN: CHALLENGES & OPPORTUNITIES
IMPLEMENTING QSEN: CHALLENGES & OPPORTUNITIES Margaret Rowberg, DNP, APN Jennifer Lillibridge, RN, PhD California State University, Chico School of Nursing FOCUS OF PRESENTATION Objectives Present results
More informationSharps Injury Prevention in the Intraoperative Setting
Sharps Injury Prevention in the Intraoperative Setting Describe recommended safe practices for cleaning instrumentation. Objectives Describe methods to reduce sharps injury to the health care team. Describe
More informationAccreditation Program: Office-Based Surgery
ccreditation Program: Office-Based Surgery National Patient Safety Goals indicates scoring category ; indicates scoring category ; indicates situational decision rules apply; indicates 2009 The Joint ommission
More informationAI had been engaged in work in Surgical
Interview with a uality Leader: Dr. Verna Gibbs on Surgical Safety Susan V. White, Interviewer Vol. 34 No. 6 November/December 2012 21 native of New Jersey and a third-generation physician, Dr. Verna Gibbs
More informationAppendix A.1 SURGICAL TECHNOLOGIST WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE
WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE A.1-1 WORK PROCESS SCHEDULE O*NET-SOC CODE: 29-2055.00 RAPIDS CODE: 1051CB This schedule is attached to and a part of these Standards for the above
More informationNational Patient Safety Goals Effective January 1, 2016
National Patient Safety Goals Effective January 1, 2016 Goal 1 Improve the accuracy of patient identification. NPSG.01.01.01 Office-Based Surgery ccreditation Program Use at least two patient identifiers
More informationUW HEALTH JOB DESCRIPTION
Surgical Tech Sr Job Code: 9953 FLSA Status: NE Mgt. Approval: J Barriere Date: 1/18 Department : HR Approval: M Buenger Date: 1/18 JOB SUMMARY The UWHC Surgical Technologist - Senior is the advanced full
More informationWrong Site, Wrong Procedure, Wrong Person Surgery
Back to Basics Seventh in a Series Patient Safety Wrong Site, Wrong Procedure, Wrong Person Surgery By Alecia Cooper, RN, BS, MBA, CNOR An alarming occurrence affecting perioperative patient safety: According
More informationPreventing Wrong-Site Surgery Through Implementation of Evidenced-Based Best Practices
Preventing Wrong-Site Surgery Through Implementation of Evidenced-Based Best Practices Robert Yonash, RN, CPPS Pennsylvania Patient Safety Authority Patient Safety Liaison, Southwest Region Objectives
More informationWelcome to Baylor Scott & White Hillcrest. A Perioperative Services Orientation
Welcome to Baylor Scott & White Hillcrest A Perioperative Services Orientation What does "Perioperative" mean? When a patient is cared for in the Perioperative setting, they receive care preoperatively,
More informationWelcome to Scott & White Memorial Hospital. Perioperative Services
Welcome to Scott & White Memorial Hospital Perioperative Services What is a Perioperative Nurse? A perioperative nurse is a nurse who provides patient care, manages, teaches, and studies the care of patients
More informationReducing the Risk of Wrong Site Surgery
Joint Commission Center for Transforming Healthcare Reducing the Risk of Wrong Site Surgery Wrong Site Surgery Project Participants The Joint Commission s Center for Transforming Healthcare aims to solve
More informationUW HEALTH JOB DESCRIPTION
Surgical Tech Obj Job Code: 9952 FLSA Status: NE Mgt. Approval: J Barriere Date: 1/18 Department : HR Approval: M Buenger Date: 1/18 JOB SUMMARY The UWHC Surgical Technologist - Objective has the responsibility
More informationBERGEN COMMUNITY COLLEGE
SUR 202 Course Syllabus Credits: 2 BERGEN COMMUNITY COLLEGE DIVISION OF HEALTH PROFESSIONS SURGICAL TECHNOLOGY PROGRAM HOSPITAL CLINICAL Instructors- Carolan Sherman CST, RN, BSN, MSN E-Mail- Mary Chmielewski
More informationRevised Surgical Rotation Case Requirements, Core Curriculum for Surgical Technology, 6 th edition
TO: FROM: Surgical Technology Program Directors AST ARC/STSA NBSTSA DATE: October 29, 2014 RE: Revised Surgical Rotation Case Requirements, Core Curriculum for Surgical Technology, 6 th edition Dear Surgical
More informationDEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL COMMAND 2050 Worth Road Fort Sam Houston, Texas
DEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL COMMAND 2050 Worth Road Fort Sam Houston, Texas 78234-6010 MEDCOM Circular 29 May 2008 No. 40-17 Expires 29 May 2010 Medical Services PREVENTING
More informationIntroduction to Perioperative Nursing
C H A P T E R 1 Introduction to Perioperative Nursing LEARNER OBJECTIVES 1. Define the three phases of the surgical experience. 2. Describe the scope of perioperative nursing practice. 3. Discuss application
More informationIssue Date Review Date Version July 2017 July 2022 V6
Trust Policy Instrument Counts during Invasive Procedures Purpose Issue Date Review Date Version July 2017 July 2022 V6 This policy identifies the correct procedure for counting instruments and bio-medical
More informationCREATING THE SURGICAL ENVIRONMENT AST. Association of Surgical Technologists
CREATING THE SURGICAL ENVIRONMENT AST Association of Surgical Technologists ASSURING HIGHER OR QUALITY AND LOWER CARE COSTS? For CSTs and CSFAs, it s a matter of principles. Skilled in the principles of
More informationPreventing Medical Errors
Presents Preventing Medical Errors Contact Hours: 2 First Published: March 31, 2017 This Course Expires on: March 31, 2019 Course Objectives Upon completion of this course, the nurse will be able to: 1.
More informationQUESTIONS PERTINENT TO PRODUCT SELECTION:
QUESTIONS PERTINENT TO PRODUCT SELECTION: Impact on patient outcomes Impact on patient/staff safety Economic considerations Use the following pages to help facilitate discussion with vendors, write your
More informationNew data from Minnesota hospitals offers more insight into preventing
Patient safety Preventing pressure ulcers: New lessons from Minnesota New data from Minnesota hospitals offers more insight into preventing pressure ulcers during long surgical procedures. Data collected
More informationBariatric and Metabolic Fellowship Core Curriculum for the RCS National Surgical Fellowship Scheme 1
1 Bariatric and Metabolic Fellowship Core Curriculum for the RCS National Surgical Fellowship Scheme 1 This programme aims to enhance the delivery of metabolic surgery through world-class fellowships in
More informationProcedure. Applies To: UNM Hospitals Responsible Departments: All Revised: 9/2009 updated: 8/2013. Title: Universal Protocol / Time Out
Title: Universal Protocol / Time Out Applies To: UNM Hospitals Responsible Departments: All Revised: 9/2009 updated: 8/2013 Procedure Patient Age Group: ( ) N/A (X) All Ages ( ) Newborns ( ) Pediatric
More informationZ: Perioperative Nursing Specialty
Z: Perioperative Nursing Specialty Alberta Licensed Practical Nurses Competency Profile 263 Major Competency Area: Z Perioperative Nursing Specialty Priority: One Competency: Z-1 HPA Authorizations and
More informationImplementation of Surgical Safety Checklist
Implementation of Surgical Safety Checklist The World Health Organisation has identified through consultation with surgeons, anaesthetists and nurses a checklist of critical steps that are common to all
More informationASA Standards of Practice for Injection of Local Anesthetics
ASA Standards of Practice for Injection of Local Anesthetics Adopted by BOD March 2014 Introduction The following Standards of Practice were researched and authored by the ASA Education and Professional
More informationVERNON COLLEGE SYLLABUS. DIVISION: Allied Health and Human Services DATE:
VERNON COLLEGE SYLLABUS DIVISION: Allied Health and Human Services DATE: 2011-2012 CREDITS HRS: 4 HRS/WK LEC: 2 HRS/WK LAB: 6 LEC/LAB COMB: 8 I. VERNON COLLEGE GENERAL EDUCATION PHILOSOPHY STATEMENT General
More informationBACKGROUND: STUDY DESIGN: RESULTS: CONCLUSIONS:
Effectiveness of a Radiofrequency Detection System as an Adjunct to Manual Counting Protocols for Tracking Surgical Sponges: A Prospective Trial of 2,285 Patients Christopher C Rupp, MD, FACS, Mary J Kagarise,
More informationNEOSHO COUNTY COMMUNITY COLLEGE COURSE SYLLABUS. Course Prefix/Number: SURG 103 Principles and Practices of Surg. Tech. Lab
COURSE IDENTIFICATION NEOSHO COUNTY COMMUNITY COLLEGE COURSE SYLLABUS Course Prefix/Number: SURG 103 Course Title: Principles and Practices of Surg. Tech. Lab Division: Allied Health Program: Surgical
More informationPayment Policy: Visits On Same Day As Surgery Reference Number: CC.PP.040 Product Types: ALL Effective Date: 03/01/2018
Payment Policy: Visits On Same Day As Surgery Reference Number: CC.PP.040 Product Types: ALL Effective Date: 03/01/2018 Revision Log See Important Reminder at the end of this policy for important regulatory
More information2016 Quality Management. Sandra Webb BSN RN CIC
2016 Quality Management Sandra Webb BSN RN CIC Quality Management Department Functions: Core Measures Infection Prevention Patient Safety Officer Performance Improvement Performance Improvement Data is
More informationRestoring Honesty, Trust and Safety in Healthcare: Educating the Next Generation of Providers
Restoring Honesty, Trust and Safety in Healthcare: Educating the Next Generation of Providers Patient Safety and Reducing Your Risk for Malpractice Introductions Timothy McDonald, MD JD Professor, Anesthesiology
More informationAORN Position Statement on Orientation of the Registered Nurse and Surgical Technologist to the Perioperative Setting*
AORN Position Statement on Orientation of the Registered Nurse and Surgical Technologist to the Perioperative Setting* POSITION STATEMENT that in collaboration with the perioperative registered nurse (RN)
More informationNEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS. Principles and Practices of Surgical Technology Lab
NEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS COURSE IDENTIFICATION Course Code/Number: SURG 103 Course Title: Principles and Practices of Surgical Technology Lab Division: Applied Science (AS)
More informationBossier Parish Community College Master Syllabus
Course Prefix and Number: STEC 102/102L Credits Hours: 4 Bossier Parish Community College Master Syllabus Course Title: Introduction to Surgical Techniques Prerequisites: STEC 101 Clock Hours: 30 hours
More informationProcedure for the checking of swabs, Instruments, sharps and needles
Procedure for the checking of swabs, Instruments, sharps and needles This guidance does not override the individual responsibility of health professionals to make appropriate decision according to the
More informationSPECIMENS: LABELING AND HANDLING. Clinical Procedure
SPECIMENS: LABELING AND HANDLING Clinical Procedure Campus: All campuses Approved: August 2007 Department: Surgery & Anesthesia Services Next Review: August 2010 Purpose Policy To provide a method by which
More informationBeth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units.
Beth Israel Deaconess Medical Center Perioperative Services Manual Title: Guidelines for Perioperative Handoffs from OR to receiving units. Policy #: PSM 100-102A Purpose: This guideline provides a standard
More informationPOLICY. The purpose of this policy is to establish Saskatoon Health Region s (SHR s) communication requirements for all surgical patients.
POLICY Number: 7311-60-026 Title: Surgical Safety Checklist Authorization [ ] President and CEO [ X] Vice President, Finance and Corporate Services Source: Chair(s), Surgical Operations Committee Cross
More informationRaising the bar for safety in the handling of surgical specimens Is this specimen fresh or frozen? Is it routine, or does it require a lung protocol?
Patient safety Raising the bar for safety in the handling of surgical specimens Is this specimen fresh or frozen? Is it routine, or does it require a lung protocol? Does it go to the frozen section lab
More informationTitle: VERIFICATION OF PROCEDURES TO BE PERFORMED
Approved By: Garren Colvin, EVP/COO Responsible Parties: Alicia Humphrey, Director Outpatient Surgery Tracie Shelton, Director Patient Safety & Accreditation Policy No.: ACLIN-V-01 Originated: 01/01/11
More informationQUALITY NET REPORTING
5/18/15% A webinar series that keeps you in the know Brought to you by Progressive QUALITY NET REPORTING Sarah Martin, MBA, RN, CASC Progressive Huddle May 18, 2015 ASCQR ASC Quality Reporting started
More informationBack to Basics: The Universal Protocol
CONTINUING EDUCATION 1.4 www.aornjournal.org/content/cme Lisa Spruce, DNP, RN, CNS-CP, CNOR, ACNS, ACNP, FAAN CONTINUING EDUCATION CONTACT HOURS indicates that continuing education (CE) contact hours are
More informationNoThing Left Behind Points of Confusion with The Players and The Policies
NoThing Left Behind Points of Confusion with The Players and The Policies July 2014 Your health comes first with us You re the reason we launched the Patient Safety First program, where we work hand-in-hand
More informationNEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS. Principles and Practices of Surgical Technology Lab
NEOSHO COUNTY COMMUNITY COLLEGE MASTER COURSE SYLLABUS COURSE IDENTIFICATION Course Code/Number: SURG 103 Course Title: Principles and Practices of Surgical Technology Lab Division: Applied Science (AS)
More informationBrachytherapy-Radiopharmaceutical Therapy Quality Management Program. Rev Date: Feb
Section I outlines definitions, reporting, auditing and general requirements of the QMP program while Section II describes the QMP implementation for each therapeutic modality. Recommendations are expressed
More informationThese incidents, reported by the Pennsylvania Patient Safety Authority, are
Patient safety Taking steps to protect patients from specimen-handling errors An OR specimen was transported to the laboratory. The lab called to say there was no specimen in the container. The specimen
More informationSurgical Technology. Washburn Institute of Technology. Program Number Target Population. Description. Entry Requirements.
Surgical Technology Organization Washburn Institute of Technology Program Number 51.0909 Instructional Level Certificate Target Population Post-secondary Description This program provides an opportunity
More informationRADIATION POLICY Page 1 of 5 Reviewed: August 2017
Page 1 of 5 Policy Applies to: All Mercy Hospital staff, who work with (or work in the vicinity of) radiological equipment. Compliance by credentialed specialists and visitors will be facilitated by Mercy
More informationPerioperative Services
Welcome to Baylor Scott & White Memorial Hospital Perioperative Services What is a Perioperative Nurse? A perioperative nurse is a nurse who provides patient care, manages, teaches, and studies the care
More informationOperating Room Sharp Injuries in a Teaching Hospital. Poonam Kutre MPH 2015
Operating Room Sharp Injuries in a Teaching Hospital Poonam Kutre MPH 2015 What is sharp injury A sharp injury is a penetrating stab wound from a needle, scalpel, or other sharp object that may result
More informationFinancial Disclosure. Learning Objectives: Preventing and Responding to Sentinel Events in Surgery 10/13/2015
Preventing and Responding to Sentinel Events in Surgery Beverly Kirchner, BSN, RN, CNOR, CASC April 2014 Financial Disclosure I DO NOT have an actual, potential or perceived conflict of interest to disclose
More informationMayo School of Health Sciences. Perioperative Nursing. Jacksonville, Florida.
Mayo School of Health Sciences Perioperative Nursing Jacksonville, Florida www.mayo.edu Perioperative Nursing PROGRAM DESCRIPTION The Perioperative Nursing Program is designed to provide you with the knowledge
More informationGENERAL PROGRAM GOALS AND OBJECTIVES
BENJAMIN ATWATER RESIDENCY TRAINING PROGRAM DIRECTOR UCSD MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE SAN DIEGO, CA 92103-8770 PHONE: (619) 543-5297 FAX: (619) 543-6476 Resident Orientation
More informationRETAINED SURGICAL SPONGES
ORIGINAL ARTICLE Gossypiboma Tales of Lost Sponges and Lessons Learned Lisa K. McIntyre, MD; Gregory J. Jurkovich, MD; Martin L. D. Gunn, MBChB; Ronald V. Maier, MD Objective: To review the details surrounding
More informationImplementation Manual for the World Health Organization Surgical Safety Checklist (First Edition)
SAGES Society of American Gastrointestinal and Endoscopic Surgeons http://www.sages.org Implementation Manual for the World Health Organization Surgical Safety Checklist (First Edition) Author : SAGES
More informationPrevention of Retained: Small Miscellaneous Items (SMIs) Unretrieved Device Fragments (UDFs) Needles
Prevention of Retained: Small Miscellaneous Items (SMIs) Unretrieved Device Fragments (UDFs) Needles Verna C. Gibbs MD Director, NoThing Left Behind Professor of Surgery UCSF; Staff Surgeon, SFVAMC This
More informationRobert J. Welsh, MD Vice Chief of Surgical Services for Patient Safety, Quality, and Outcomes Chief of Thoracic Surgery William Beaumont Hospital
Robert J. Welsh, MD Vice Chief of Surgical Services for Patient Safety, Quality, and Outcomes Chief of Thoracic Surgery William Beaumont Hospital Royal Oak, Michigan, USA 1 ARE OUR OPERATING ROOMS SAFE?
More informationHAWAII HEALTH SYSTEMS CORPORATION
Entry Level Work HE-06 6.765 Full Performance Work HE-08 6.766 Function and Location This position works in the surgery unit/operating room of a hospital or clinic and performs a variety of technical duties
More informationObjectives. Positioning the Bariatric Patient in the OR. Goals of Positioning. Airway challenges 6/9/2014
Objectives To identify proper positioning of Bariatric patients for surgery Barbara Lawrence RN MEd ONC Clinical Education Specialist Magee-Womens Hospital of UPMC To recognize patients who are more vulnerable
More informationPerioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and
Perioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and training of team members in an effort to deliver safe, competent
More informationThe Practice Standards for Medical Imaging and Radiation Therapy. Cardiac Interventional and Vascular Interventional Technology. Practice Standards
The Practice Standards for Medical Imaging and Radiation Therapy Cardiac Interventional and Vascular Interventional Technology Practice Standards 2017 American Society of Radiologic Technologists. All
More informationPeriopSim Survey & Educator Portal Results Data Summary February 2016 to October 2017
PeriopSim Survey & Educator Portal Results Data Summary February 2016 to October 2017 Executive Summary For the period of 18 months we made 4 modules available within Periop 101 at no additional cost.
More informationBAYHEALTH MEDICAL STAFF RULES & REGULATIONS
BAYHEALTH MEDICAL STAFF RULES & REGULATIONS Rules and Regulations initial approval by the Board of Directors: Amendments approved by the Board of Directors: Revised 1/21/13 Revised 4/17/13 Revised 9/16/13
More informationThe New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures
The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures Lawrence L. Faltz, MD, FACP; John N. Morley, MD, FACP; Ellen Flink, MBA; Peg
More informationChapter 4732 Modifications Summary SEPTEMBER 30, 2016
Chapter 4732 Modifications Summary SEPTEMBER 30, 2016 PURPOSE, SCOPE, AND DEFINITIONS 4732.0100 PURPOSE AND SCOPE. No changes at this time. 4732.0110 DEFINITIONS. Amend and update existing definitions.
More informationTREATMENT OF MEDICAL ERROR ISSUES AT SURGICAL M&M CONFERENCE. Prof. Alberto R. Ferreres, MD, FACS
TREATMENT OF MEDICAL ERROR ISSUES AT SURGICAL M&M CONFERENCE Prof. Alberto R. Ferreres, MD, FACS MEDICAL ERROR IN M&M CONFERENCE MEDICAL ERROR AT M&M CONFERENCE LA RESPONSABILIDAD MEDICA Y LA PRACTICA
More informationAPEx Program Standards
APEx Program Standards The following standards are the basis of the APEx program. Level 1 standards are indicated in bold. Standard 1: Patient Evaluation, Care Coordination and Follow-up The radiation
More informationUniversity of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES
University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES Goals: The overall goal of the rotation is to provide an introduction and understanding of the
More informationPatient safety alert 06
Immediate action Action Update Information request Correct site surgery Surgery performed at the incorrect anatomical site is rare. However, it can be devastating for patients. Correct site surgery (CSS)
More informationALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-7 STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS TABLE OF CONTENTS
Nursing Chapter 610-X-7 ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-7 STANDARDS OF NURSING PRACTICE; SPECIFIC SETTINGS TABLE OF CONTENTS 610-X-7-.01 610-X-7-.02 610-X-7-.03 610-X-7-.04 610-X-7-.05
More information