IPSG 4 Eliminate wrong site, wrong-patient, wrong procedure surgery Flashcards
Who are allowed to perform the surgical site marking?
-Should be done by the DR who will perform the procedure (responsible surgeon/consultant surgeon/physician or procedurist in charge)
How is the surgical site marking is performed in our hospital
Arrow mark using indelible ink
What’s the component included in time out? When will it be performed and by who?
Components include; name of procedure, completion of instruments, sponge, swab/needle counts, labelling of specimens, any equipment problems, deposition of patient after surgery.
Can you show me the time out process and documentation?
-Go to planned procedure in EPIC and click encounter and create timeout.
When sign-out is conducted?
Conducted at location where procedure is performed before patient leaves the room/procedure area.
Can you tell me the process for consent taking in the hospital, can share with us the variation of consent taking in the hospital.
-Types on consents
1. Consent for operations/ procedures
2. Consent for Anaesthesia/sedation
3. Consent for blood transfusion and blood components and autologous blood transfusion
4. Consent for tissue to be used for medical research
5. Consent for photography/videography
6. General consent for inpatient admission
7.Consent supplements for specific procedures
Validity of blood transfusion consent
For blood transfusion consent: 1 month validity.
-What if patient is unable to sign or without limbs, how he/she can give consent?
-Thumbprint is a valid signature, the right thumbprint should be used unless the right thumbprint is missing hence must use the left thumbprint.
-For patient without upper limbs, he/she can give verbal consent after the doctor has given the appropriate information to make an informed consent
Who can sign the blood transfusion consent
For capable of giving consents: MO and above can sign
For incapable of giving consents;
Situations;
-Immediate life-threatening, emergency situation, elective transfusions: single signature from a doctor of registrar grade and above.
Who can sign for operation and procedure consent?
-For incapable of giving consents;
Situations;
-Immediate life-threatening single signature from a doctor of registrar grade and above
-Emergency situation(p2-p3 cases) the attending specialist (assoc consultant and above) can decide for the procedure however if specialist not on site, a doctor of registrar and above can sign the consent.
Elective -consent must be obtained from legal guardian. If cannot be obtained from legal guardian. 2 doctors of AC grade and above. One whom not be directly involve in patient’s care.
