Accreditation

Greeley Reflections

Accreditation Connection, December 22, 2010

Revisiting the Universal Protocol for simple, one-person procedures

 

Part 4 of 7

Site marking

The issue of "risk for the patient" comes into play for site marking, which is only required when there's an impact on quality or safety if the wrong site can be selected (UP.01.02.01 EP.1).

There are, of course, other exemptions, including situations where the person performing the procedure does not leave the patient between site identification and implementation of the procedure. We can think of very few simple procedures where site marking is required either because there is minimum risk to the patient, the provider selects the site as the procedure commences, or both. By the way, who decides which procedure impact quality or safety? According to The Joint Commission, your organization does (UP.01.02.01 EP.1)

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