North Carolina Best Practice Protocols Clinical Procedures Safety
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FAQ
World Health Organization (WHO) published the surgical safety checklist which comprises 19 items that must be checked at 3 points all the time of surgery; sign in, time out and time out 4.
The use of clinical protocols allows health care providers to offer appropriate diagnostic treatment and care services to patients, variance reports to purchasers and quality training to clinical staff.
Definition. A medical protocol is considered to be a set of predetermined criteria that define appropriate nursing interventions that articulate or describe situations in which the nurse makes judgments relative to a course of action for effective management of common patient care problems.
In a healthcare setting, a protocol, also called a medical guideline, is a set of instructions which describe a process to be followed to investigate a particular set of findings in a patient, or the method which should be followed to control a certain disease.
A specific written procedure that prescribes nursing actions in a given situation. Health agencies and physicians establish protocols to ensure consistency and quality of care.
Background. Surgical site marking is one important cornerstone for the principles of safe surgery suggested by the WHO. Generally it is recommended that the attending surgeon performs the surgical site marking.
Mark the site before the procedure is performed. If possible, involve the patient in the site marking process. The site is marked by a licensed independent practitioner who is ultimately accountable for the procedure and will be present when the procedure is performed.
Prior to the start of any surgical procedure, a time out should be completed to verify the correct patient, correct surgical procedure, and correct surgical site. 1.
The mark is unambiguous and is used consistently throughout the organization. The mark is made at or near the procedure site. The mark is sufficiently permanent to be visible after skin preparation and draping. Adhesive markers are not the sole means of marking the site.
The Universal Protocol provides guidance for health care professionals. It consists of three key steps: conducting a pre-procedure verification process, marking the procedure site, and performing a time-out.