Ensuring Correct Surgery and Invasive Procedures in VHA
[Pages:3]Ensuring Correct Surgery and Invasive Procedures in VHA
Before surgery/procedure
Just before entering OR/ procedure room
Immediately prior to surgery/procedure
Step 1: Consent Form
The consent form must include: patient's full name procedure site name of procedure brief description of
procedure reason for
procedure
Step 2: Mark Site
The operative site must be marked by a physician or other privileged provider who is a member of the operating team
Do NOT mark non-operative sites
Step 3: Patient Identification Staff must ask the patient to state (NOT confirm): their full name full SSN or date of birth site for the procedure
Check responses against the marked site, ID band, consent form and other documents
Step 4: Imaging Data
Two members of the team (the physician performing the procedure and another team member) must confirm the images are correct and properly labeled
Step 5: "Time Out"
Staff must conduct a Time Out prior to beginning the procedure with the patient present. The Time Out must be facilitated by a checklist that includes: correct patient identity procedure to be performed site of procedure valid consent form patient position site is marked
and visible images confirmed implants available antibiotic prophylaxis deep vein thrombosis prophylaxis blood availability special equipment availability
For more information see the Veteran's Health Administration directive and your Patient Safety Manager ___________________
Produced by the Department of Veterans Affairs National Center for Patient Safety (patientsafety. or vaww.ncps.med.)
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