Universal Protocol Patient Identification Preprocedural Checklist Correct Site

Universal Protocol Patient Identification Pre-procedural Checklist Correct Site and Site Marking “Time Out”

Learning Objectives: At completion of this session each individual will be able to: 1. Verbalize the process to ensure the correct identification of the right patient, right procedure, and correct site using two patient identifiers. 2. Verbalize the alternate site marking process. 3. Verbalize the individual responsible for site marking on the patient. 4. Verbalize the how the site is to be consistently and unambiguously marked. 5. Verbalize and demonstrate use of the surgical interventional checklist and documentation of the “time out”. 6. Verbalize the components of a “time out”. 7. Be able to lead a “time out”. 8. Verbalize when multiple “time outs” are required. 9. Verbalize the site marking requirement to be able to see the initials of the physician after the draping procedure. 10. Verbalize where the “time out” documentation is completed.

Use of Two Patient Identifiers Identification of the correct patient prior to any procedure using: § Patient’s Name § Patient’s Medical Record Number

Identification of the Correct Site

Site Marking Correct site must be marked: By the physician or licensed practitioner privileged to perform the procedure Use of the physicians initials as the site marking Physicians initials must be visualized by the team during the “time out”

Alternate Site Marking

“Time Out”