Side and Site Verification In NonOperative Areas An Important Note Regarding Procedures A key part of this process is to make sure that the Provider is credentialed to perform the requested procedure ID: 1034821
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1. Verification of the Patient, Procedure, Side and SiteSide and Site VerificationIn Non-Operative Areas
2. An Important Note Regarding ProceduresA key part of this process is to make sure that the Provider is credentialed to perform the requested procedure:If the credentialing of the Provider is unknown call the Administrative Supervisor to determine if the Provider is privileged at Crouse to do the procedure. A procedure can not be done by a Provider who does not have privileges at Crouse to do the procedure.
3. Side and Site Verification – In Non-Operative AreasNYSSIPP stands for ‘New York State Surgical and Invasive Procedure Protocol’.The NYSSIPP regulations govern what the Hospital and its staff must do to insure the correct identification of the patient, procedure, and applicable side and site during invasive procedures.These regulations apply to all invasive procedures. Here we will discuss its application to non-operative areas. Examples of this would be: bedside left knee aspiration done on 6S bedside right chest tube insertion on 5S.Circumcision/ amniocentesis
4. Side and Site Verification – In Non-Operative AreasNYSSIPP standards require a policy to specifically address the following:ConsentPre-Operative/Pre-procedural Verification processesMarking of the operative/procedural siteAcceptable alternatives to site marking“Time out” immediately before the procedureResolution of discrepancies
5. ConsentThe required elements of the consent verified before the procedure include: First and last name. Date of birth. Medical record number of the patient. Name and description of the procedure in terms the patient can understand.
6. ConsentThe consent must also contain:Right, left or bilateral must be spelled out in their entirety.Patient/guardian/parent/health care agent signature and date.Witness signature and date.Physician signature and date.
7. Pre-Procedural VerificationVerification of the correct person, procedure, site must occur: With the patient: fully involved awakeaware
8. Pre-Procedural VerificationPrior to the Procedure:1. The Patient is identified per policy:confirms identity with patient identification band, medical record, and parents/ guardian/ health care proxy, if available. Explains expected sequence of events and preoperative routine.2. Planned procedure confirmed: Verifies the procedure, site and laterality. Compare with consent. If the patient is able, ask him/her/parent/guardian, in the case of a pediatric patient, to state planned procedure.3. Consent verified: Verifies consent for the procedure including side and site if applicable. (Approved abbreviations only. No acronyms.)
9. Pre-Procedural VerificationPrior to the Procedure (continued):4. Availability of equipment confirmed5. History and Physical Complete6. Availability of implants confirmedRelevant Report/Images from Radiology are available, if applicable. Provider reviews relevant report/images. A second person confirms report/images are for the correct patient, correct date, and if images are available in the procedure room, they are in the correct orientation.
10. Test QuestionThe patient is included in the side and site verification process: A. True* B. False
11. MarkingMarking: Site markings are done by the provider performing the procedure using his/her own initials. Digits are marked on the digit. Mark must be visible when the patient is draped. Marking must take place with the patient awake, aware, involved. Note: Marking is not required in single organ procedures or life threatening emergencies.
12. Acceptable Alternatives to MarkingA special purpose wrist band (SPWB) for a site not able to be marked. (A special purpose wrist band is available on the unit supply cart). The band must contain:patient name,patient number,anatomical site and side information. Example: drainage of right labial abscess. A special purpose wrist band (SPWB) must be used for patients:Who refuse marking.Problematic sites to mark (e.g. perineum or anus), prior to a procedure.Note: In neonates marking may cause a permanent tattoo. Duoderm initialed by the surgeon is utilized as the initials marking the surgical site.
13. Acceptable Alternatives to Marking (cont)When the SPWB is utilized:The RN confirms pt. Identification, procedure including side and site per policy.The RN or Provider transcribes the procedure written on the consent on the SPWB.If the RN transcribes the procedure on the SPWB the Provider must confirm and initial the SPWB.The Provider will then place the SPWB on the patient’s wrist – on the intended anatomical side.
14. MarkingMarking:A Provider is NOT exempt from the site marking requirement when he/she is in continuous attendance with the patient.
15. Test QuestionA special purpose wristband is used when the: A. site is unable to be marked B. patient is a neonate C. patient refuses site marking D. all of the above*
16. Time OutThe Time Out:Is a pause to perform a final verification before the procedure begins.The Provider performing the procedure must conduct the “time out” with another person. This must be documented.
17. Time OutThe Time Out Verifies:Patient Identification The patient’s identification is compared against the consent utilizing the first and last name of the patient and a second unique identifier.Correct procedure including side, and site.Correct site is marked and is visible.During The Time Out : The Team must use active verbal communication. Everyone must verbally confirm the patient, procedure, side and site.Completion of the time out process is documented.
18. Time OutThe Time Out is:Done in the location where procedure will be done. Completed after the pt is prepped, draped, and immediately before starting the procedure. A time when all work MUST cease. An all inclusive process, meaning it must involve ALL members of the team.
19. Time OutThe Time Out is (cont):5. To include the availability of correct implants and special equipment required for the procedure.6. To include a radiological review when applicable to the case. A report should be brought into the room to use during verification.THE TIME OUT REQUIRES ALL TEAM MEMBERS TO BE IN AGREEMENTThe Provider is NOT exempt from the time out when in continuous presence of the patient.Wrong sided procedures have been reported despite a continued presence of the Provider.
20. Time OutFinal verification of the site mark must take place during the “time out.”When utilizing a SPWB during the timeout the RN will visualize and read from the SPWB along with the operative consent.In the event the SPWB will not be visible or accessible during the timeout the RN will:remove the band once the patient has been anesthetized utilize the SPWB along with the operative consent to confirm procedure side and site during timeout.NOTE: If the SPWB has not be removed for the timeout it can be removed once the procedure is completed.
21. Test QuestionThe Provider is exempt from the time out and site markings when he/she has been in continuous attendance with the non-emergent patient. A. True B. False*
22. Resolution of DiscrepancyDiscrepancy:If there is any discrepancy in the patient, the procedure, the side or site the Procedure is stoppedAny member of the team can stop the procedureThe discrepancy must be resolved before proceeding.
23. Resolution of Discrepancy If I do not agree with the identification, side, site or procedure to be done it is my responsibility to: A. speak up and stop the procedure* B. know that you should disagree C. remain quiet until the procedure is finished
24. Resolution of DiscrepancyIf there is discovery of Wrong Patient, Procedure, Side or Site:Immediately Stop!!!Obtain equipment, images, studies, etc to assist with resolution.Contact nursing leadership.Complete an Occurrence Report.Documentation in the patient record
25. Resolution of DiscrepancyIf there is discovery of Wrong patient, procedure, side/site: The Provider must: Inform the patient, patient's family or the responsible person ASAP.Document in the patient's medical record.
26. Test QuestionYou are assisting a physician in the insertion of a chest tube and realize the procedure has been done on the right, but the consent is for the left side. You would:Immediately stop, tell the provider, and obtain equipment, images, studies, etc. to assist with resolution of the discrepancy.Contact nursing leadership and complete an occurrence Report regarding the discrepancy.Document the occurrence objectively in patient recordAll of the above*
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