ESSENTIAL ACTIONS 4-5 Flashcards
What is the goal of Essential Action 4: Security in Procedures?
The goal is to improve security in medical procedures, particularly within the operating room (OR), to prevent errors and enhance patient safety.
What are the key points in Essential Action 4A1 for surgical site marking?
Surgical site marking should be done on the patient’s skin before surgery, remain visible after asepsis, and involve the patient or a family member. A standardized mark should be used, avoiding an “X,” and it can be omitted in emergencies or if the lesion is visible.
What is the Patient Safety Checklist (Essential Action 4A2)?
The checklist is a tool to be completed by a designated team member for all patients, ensuring verification of key variables, such as patient identification, surgical site, and procedure details before anesthesia induction, during the procedure, and before the patient leaves the OR.
What are the three phases of the Patient Safety Checklist in the operating room?
Before anesthesia induction:
Verify patient ID, surgical site, and procedure details.
Time-out before incision:
Ensure all team members are identified, surgical details are confirmed, and asepsis protocols are followed.
Exit:
Confirm the name of the procedure, recount instruments and needles, label samples, and document any adverse events.
What are some procedures outside the operating room that require a time-out (Essential Action 4B)?
Time-out must be done before procedures like blood transfusions, radiotherapy, hemodialysis, biopsies, device placement or removal, and blood tests.
What is the protocol for reusable supplies (Essential Action 4C)?
Reusable supplies must be handled according to the manufacturer’s instructions to ensure safety and prevent contamination.
What is the objective of Essential Action 5/International Goal?
The objective is to reduce healthcare-associated infections (HAIs) by implementing a comprehensive hand hygiene program and training staff, patients, and caregivers on infection prevention.
What does the COCASEP committee promote?
COCASEP promotes the prevention and reduction of morbidity and mortality due to healthcare-associated infections by managing risks and contributing to hospital epidemiological surveillance efforts.
What role does CODECIN play in infection control?
CODECIN is a technical advisory body responsible for epidemiological surveillance, prevention, and control of HAIs, and evaluates the use of antimicrobials and compliance with national infection control regulations (NOM-045).
What are the responsibilities of the Hospital Epidemiological Surveillance Unit (UVEH)?
UVEH monitors the occurrence of HAIs, analyzes risk factors, coordinates infection prevention activities, and prepares monthly reports to standardize HAI-related processes and ensure proper antimicrobial use.
What are the key components of the comprehensive hand hygiene program (Essential Action 5B)?
The program includes ensuring the necessary infrastructure for hand hygiene, training health personnel on proper handwashing and friction techniques, providing evaluation and feedback, and promoting a culture of safety through visual reminders and continuous education.
