Manual: Outpatient Surgery and Ambulatory Services Policy and Procedure Manual (Ver 9) External Reference: (Universal Protocol)
MCN’s customizable template, Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery, is taken from our Outpatient Surgery and Ambulatory Services Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery:
| | UNIVERSAL PROTOCOL FOR
PREVENTING WRONG SITE, WRONG PROCEDURE AND
WRONG PERSON SURGERY
Specific to Ambulatory Care, Critical Access Hospital,
Disease-Specific Care, Hospital and Office-Based Surgery
Universal Protocol 1:
REQUIREMENT 1A:
Conduct a pre-operative verification process as described in the Universal Protocol.
Implementation Expectations:
1. Verification of the correct person, procedure, site, as applicable, should occur:
At the time the surgery/procedure is scheduled
At the time of admission or entry into the facility
Anytime the responsibility for care of the patient is... |
| Second excerpt: |
| | ...Single organ cases i.e., Cesarean section, cardiac surgery
Interventional cases for which the catheter/instrument insertion site is not predetermined i.e., cardiac catheterization
Teeth, but indicate operative tooth names on documentation or mark the operative tooth teeth on the dental radiographs or dental diagram
Premature infants, for whom the mark may cause a permanent tattoo
6. The individual performing the procedure should do the site marking.
7. Marking must take place... |
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