A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?
Provide information about the risks of a surgical procedure to the client.
Request the client sign the informed consent form after administering a preoperative sedative.
Mark the client's surgical site with a small strip of nonporous tape.
Call a "time out" to verify client identity before starting a surgical procedure.
The Correct Answer is D
A. Provide information about the risks of a surgical procedure to the client. Providing risk information is part of informed consent, not specifically part of Universal Protocol.
B. Request the client sign the informed consent form after administering a preoperative sedative. Informed consent should be obtained before administering sedatives to ensure the client is fully aware and able to consent.
C. Mark the client's surgical site with a small strip of nonporous tape. The surgical site should be marked with a permanent marker to ensure it remains visible and clear throughout the surgical preparation and procedure.
D. Call a "time out" to verify client identity before starting a surgical procedure. This is correct. The Universal Protocol includes a "time out" to verify the correct patient, procedure, and site before starting the surgery.
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Related Questions
Correct Answer is D
Explanation
A. "I should keep my hands lower than my elbows while washing." This is a common misconception. In reality, you should keep your hands above your elbows during handwashing to prevent recontamination.
B. "I should dry my hands by wiping them vigorously with a towel." Vigorous wiping can cause skin irritation and is not recommended. Hands should be patted dry gently with a clean towel or allowed to air dry.
C. "I should make sure to use hot water when I wash my hands." Hot water can cause skin irritation and dryness. Warm water is recommended for handwashing.
D. "I should rub soap into my hands for at least 10 seconds." This is the recommended time for effective handwashing to ensure the removal of transient bacteria.
Correct Answer is D
Explanation
A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.
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