Outpatient Surgery Magazine

Back To Work - June 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1259627

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Page 103 of 116

made by the surgeon. To help prevent these mistakes from occurring, conduct three separate time outs during the three localization attempts — pre-incision, post- exposure and at the procedure's comple- tion — to ensure the correct vertebrae has been located and treat- ed. Every member of the surgical team should be engaged in ensuring the correct site is identified. They should stop what they're doing when it's announced a localization attempt is about to start and focus all of their attention on the patient, the surgeon and the intraoperative images that are captured. After the images are taken, the surgeon counts out loud to the tar- geted vertebrae level. Everyone in the room should feel empowered to question the surgeon if they don't agree with the count. The deci- sion to begin the operation at the identified site will ultimately be the surgeon's call, but all members of the surgical team shouldn't hesitate to ask for another image and count if there's any doubt about the location of the correct surgical site. To make this confirmation process work, every person in the OR should receive advanced training on how the localization attempts will be done. They should be familiar with what spine anatomy looks like while viewing live fluoroscopy images on the C-arm monitor. They should know what the C2 and sacrum look like, where they're 1 0 4 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 2 0 CLEAR VIEW Surgeons should locate the correct surgical site based on quality images that leave no doubt about the location of the targeted vertebrae.

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