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    Markierungsguide Eingriffsverwechslung Kurz PDF

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    arie susanto
    This document provides guidelines for surgical site marking to avoid wrong site, wrong procedure, or wrong person surgery. It recommends that the intended site be marked by the surgeon before the patient is moved to the operating room, ideally with the patient involved. The mark should unambiguously identify the specific intended site, such as laterality, surface, or level. Exceptions include emergencies and cases where marking is not feasible. Proper documentation of the marking in the patient's checklist is also recommended.

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    Markierungsguide Eingriffsverwechslung Kurz PDF

    Uploaded by

    arie susanto
    225 views2 pages
    This document provides guidelines for surgical site marking to avoid wrong site, wrong procedure, or wrong person surgery. It recommends that the intended site be marked by the surgeon before the patient is moved to the operating room, ideally with the patient involved. The mark should unambiguously identify the specific intended site, such as laterality, surface, or level. Exceptions include emergencies and cases where marking is not feasible. Proper documentation of the marking in the patient's checklist is also recommended.

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    This document provides guidelines for surgical site marking to avoid wrong site, wrong procedure, or wrong person surgery. It recommends that the intended site be marked by the surgeon before the patient is moved to the operating room, ideally with the patient involved. The mark should unambiguously identify the specific intended site, such as laterality, surface, or level. Exceptions include emergencies and cases where marking is not feasible. Proper documentation of the marking in the patient's checklist is also recommended.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    225 views2 pages

    Markierungsguide Eingriffsverwechslung Kurz PDF

    Uploaded by

    arie susanto
    This document provides guidelines for surgical site marking to avoid wrong site, wrong procedure, or wrong person surgery. It recommends that the intended site be marked by the surgeon before the patient is moved to the operating room, ideally with the patient involved. The mark should unambiguously identify the specific intended site, such as laterality, surface, or level. Exceptions include emergencies and cases where marking is not feasible. Proper documentation of the marking in the patient's checklist is also recommended.

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    A  

    
    
     (H 5 )

    SURGICAL SITE MARKING


    Q!" #

    #
    
    !$

    Authors : CEPPRAL : C. Chabloz, K. Fanget, B. Fort, HAS : A. Broyart, C. Bruneau


    Parcipang Hospitals: Joseph Ducuing Hospital (Toulouse), Léon Bérard Centre (Lyon), Bourg en Bresse Hospital, Chambéry
    Hospital, St Joseph-St Luc Hospital (Lyon), Nice University Hospital, Cambrésis Clinic (Cambrai), Cornouaille Hospital (Quimper)

    PURPOSE
    To avoid wrong site, wrong procedure or wrong person
    To iden7fy unambiguously the intended site of incision or inser7on

    - Preferably by the surgeon who will perform the procedure


    WHO ?

    - Possible delega7on to a doctor or nurse directly involved in the procedure or in the pa7ent
    prepara7on process

    - Before pa7ent is moved to the loca7on where the procedure will be done
    WHEN ?

    - Ideally before seda7ve pre-medica7on


    - With the pa7ent involved, awake and aware, if possible

    ACC 
       # 
    #! 
    !  #!D
        ECE
    :
    - Laterality such as extremi7es; paired organs
    WHAT ?

    - A specific surface such as flexor or extensor


    - A specific level such as for spine surgery (vertebra)
    - A specific digit or lesion (a par7cular finger, toe, skin lesion)

    - Life-threatening emergencies (surgeon decision)


    EXCEPTIONS TO SITE MARKING :

    - Premature infants (alterna7ve method with a wrist band)


    - Cases in which site marking is not technically feasible (ex : perineum)
    - Dental surgery
    - Simultaneaous bilateral surgery
    - Endoscopies without planned invasive procedure
    - Obvious wounds or lesions if that wound or lesion is the site of surgical interven7on
    - Cases in which the laterality must be confirmed aLer examina7on under anaesthesia or in-
    ves7ga7on

    HIGH 5s PROJECT— CORRECT SITE SURGERY— September 2012


    A   
    
     (H 5 )

    S
       # #
    #C D #" 
    

    Marking is done by the person who will do the procedure or by a qualified designee (MD or RN par7-
    cipa7ng in procedure or prep.)
    The mark is made before pa7ent is moved to procedure site
    Pa7ent is aware and involved in site marking, if possible
    The mark is made at or near the intended incision site
    Non-opera7ve sites are not marked
    The mark is unambiguous (« X » is not used for site marking)
    The mark is made using a « permanent » skin marker
    The method of marking is consistent with hospital policy
    For midline access to lateral site, mark indicates correct side

    TRACEABILITY AND CHECK-LIST VERIFICATION


    Check-list traceability :
    - Marking site is performed or not
    - Any refusal by the pa7ent
    - Name of the person who marked the surgi-
    cal site

    Verifica7on :
    Cross verifica7on conducted
    with the surgical team in
    the opera7ng room during
    final 7me out.

    This guide is avalaible for all procedure involving marking site of cases
    performed in the hospital opera7ng room environment that serves the
    hospital’s inpa7ents (excludes procedure units such as endoscopy and ca-
    theterizaon labs, dedicated obstetrical operang rooms and facilies used
    exclusively for ambulatory surgery).

    Site marking is only part of a preven7ve prac7ce and does not preempt
    pre-op verifica7on and final 7me out.

    The guide for surgical site marking is also avalaible. Please contact: contact@ceppral-sante.fr

    HIGH 5s PROJECT— CORRECT SITE SURGERY— September 2012

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