scheduler who made the change to con-
cedures in and of themselves from a
firm. Document not only that a change
wrong-site point of view. Have your med-
was made, but also include the physician's
ical director, anesthesia staff and director
orders that substantiated it
in the patient's record.
2. Pause before
regional. At the time of
the pilot project, my center
wasn't doing much ortho, so
"Never think,
'Oh, we're not going
to have a wrong-site
surgery.' Once you fall
into complacency,
you've set yourself up
to make mistakes."
of nursing put together a policy stating that time outs need
to happen with all regional
blocks, and add a step to perioperative documentation to
record the time-out's completion. It's not necessary to
regional blocks weren't done regularly. But
reinvent the wheel, just reinforce that the
our process for placing blocks still needed
safety mindset before injection should be
correcting, as blocks are considered pro-
the same as before incision.
J A N U A R Y 2013 | S U P P L E M E N T
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O U T PAT I E N T S U R G E R Y M A G A Z I N E
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