General Knowledge Pre Procedure Mark the Site Time out Potpourri
100
What is universal protocol?
A code of conduct meant to prevent wrong site surgery.
100
What is Pre Procedure Verification?
Ensures all relevant documents, related information, and equipment are available and correct.
100
What is proper way to mark the site?
Unambiguous, near or at the site, sufficiently permanent to remain visible through prepping and draping,
100
What is the final time out?
Intentional pause prior to the start of a procedure
100
Who can speak up for patient safety?
Everybody involved in patient care
200
What is not part of the universal protocol?
Wash your hands after contact with infectious materials.
200
Who signs the pre procedure checklist?
SDS, operating room nurse, surgeon, anesthesia
200
Who should be involved with the site marking if possible?
The licensed practitioner with the patient
200
Who is the person that leads the time out ?
The surgeon
200
What is a NOTAM?
Notice of important information for all airman
300
What is TJC?
Promotes the Universal Protocol and develops National Patient Safety Goals
300
What are the minimal items verified for a procedure?
Correct Procedure, Patient, and Site
300
Who is ultimately responsible for the site marking even if delegated to another person to mark?
The licensed practitioner
300
What is all team members stop all activity to be engaged in the time out?
Focus
300
What is the post procedure brief?
Verify name of procedure, correct counts, specimen labeling, equipment problems, and concerns for recovery
400
What is the number of components to the universal protocol?
3 parts
400
What is a document that needs to be verified prior to an invasive procedure?
Diagnostic and Radiologic test results
400
What is the incorrect way to mark the site?
X, yes, no
400
What is communication?
Team members feel free and empowered to speak up against any discrepancies during the time out.
400
What is a root cause analysis?
Investigating a sentinel event to determine what happened, why it happened, and how it can be prevented
500
What is a sentinel event?
Serious, costly, preventable failure that can cause harm or death to a patient
500
What is the expiration date for a surgical consent?
There is no expiration date
500
What is used when patient refuses marking or it is technically or anatomically impossible to mark patient?
Written, alternative process to ensure correct site is operated on
500
What is the new requirement on surgical checklist for anesthesia?
Regional Time out
500
What is an example of when all of the universal protocol steps aren't followed?
Stat C Section






Universal Protocol

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