Archive October 2017 XVIII, No. 10

Ideas That Work: Pre-Op Pearl

This Simple Sheet Protects Patients From Harm

patient-confirmed information VISUAL REMINDER A sheet containing patient-confirmed information adds another layer to patient safety efforts.

Pre-Op Pearl
This Simple Sheet Protects Patients From Harm

Our pre-op nurses perform a time out with patients before they're wheeled into the OR. They ask them to confirm their name, the type and location of procedure they're about to undergo and the IOL diopter if the scheduled case is a cataract procedure. The nurses then compare the patients' responses to the information that's on patient-specific sheets our center's scheduler printed out the night before. There's also a space for the nurses to note the patients' medication allergies.

After the pre-op time outs, the sheets are brought into the ORs, where they're hung on centrally located whiteboards. The surgical team refers to the sheets when they're performing the full pre-procedure time out and whenever a lens is about to be implanted during cataract surgery. It's a simple way to confirm the correct procedure is being performed on the right patient, that the patient's allergies are considered and that the case's basic information is accurate, which is especially important during high-volume cataract days that can involve implanting as many as 40 different IOLs.

Chrisell Vasiliou
Stony Point Surgery Center
Richmond, Va.

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