![]() ![]() Observer: A Registered Nurse, Licensed Independent Practitioner, PA, Resident or a Physician Assistant can perform in the role of an “Observer” as the second confirmatory party to “Time Out”. Any medication brought to the sterile field after the start of the case/procedure will require a subsequent “Time Out”. For Pediatric patients, ALL dosages will be weight based and calculated in mg/kg. This will include the drug name, strength and the maximum dose calculated for all injectables on the filed, as well as a discussion related to any cautions or contraindications for administration. Medication “Time Out”: Prior to the start of the case, the surgical/procedural team MUST verify ALL medications on the sterile field. The name of the patient and the correct site and side of the procedure is to be verified before proceeding. ![]() “Time out”: All work should cease during a period of time when all members of the operative/procedural team, using active communication, confirms correct patient, correct procedure, correct site and side, medications on the sterile field and availability of all items anticipated for procedure to begin.Īdditional Confirmatory “Time Out”: All work is to cease when a new surgeon arrives and assumes primary responsibility for the case, or if the patient/operative site is re-draped. ![]() Routine “Minor” Procedures: Venipuncture, peripheral Intravenous line placement, insertion of nasal gastric tube, or Foley catheter insertion. regional nerve blocks-brachial plexus) or independently (e.g. Procedures that involve puncture or incision of the skin, or insertion of an instrument or foreign material into the body, including, but not limited to, percutaneous aspirations, biopsies, cardiac and vascular catherizations, and endoscopies are within the scope of this definition.Īnesthesia Procedures: Procedures performed either prior to a surgical procedure (e.g. Operative and Invasive Procedures: Procedures which expose patients to more than minimal risk, including procedures done in settings other than the operating room such as special procedure units, Endoscopy units or interventional radiology suites. High Alert Parenteral Medication List/Operating Room Universal Protocol Sticker (UH13736/UHC022 P4/05)Īdministrative Manual Policy RI: 0014: Consent for Treatment PolicyĪdministrative Manual Policy RI: 0015: Health Care Agent/ProxyĪdministrative Manual Policy RI: 0002: Communication with Hearing Impaired PatientsĪdministrative Manual Policy RI: 0013: Interpreter ServicesĪdministrative Manual Policy RI: 0035: Patient Identification PolicyĪdministrative Manual Policy MM: 0066 Management of Medication for the Sterile Field “Time Out”, “Observer”, Additional Confirmatory “Time Out”, Medication “Time Out”.Ĭonsent to Operation or Procedure and Anesthesia (OR2C251 12/06)Ĭonsent for Pain Procedure or Regional Anesthesia (AS2C011 02/07) Operative and Invasive Procedures, Routine “minor” procedures, Anesthesia Procedures. Routine “minor” procedures are not within the scope of this policy. All responsible personnel will confirm the appropriate site/side and never assume another individual has correctly performed the task. This process will be a coordinated effort between the attending physician of record, resident/fellow who is on the service, nurses and the anesthesia care team (when applicable). Operative and Invasive procedures are performed on the correct patient and on the correct site/side by requiring a preoperative/pre-procedural marking that unambiguously identifies the site of an operative/pre-procedural location. ![]() Policy and Procedure for Operative Site/Side Marking and Verification Stony Brook Medicine Ambulatory Surgery Center ![]()
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