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The Economics of Prefilled Syringes - August 2017 - Outpatient Surgery Magazine

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

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to stand up for what you think is right." But not everyone follows her example. Some staff members just don't feel comfortable doing so, because of the OR's traditional sur- geon-first hierarchy, or perhaps they fear retri- bution or maybe they simply haven't been empowered to intervene. It's an especially tough situation for junior nurses, says Cmdr. Julie Conrardy, MSN, RN, CNS-BC, CNS-CP, CNOR, the U.S. Navy's director of the periop- erative nurse training program, East Coast. "But as the patient's advocate in the OR, it's your responsibility to act as the safety net," she says. "Everyone in the OR has to have the confidence to speak up like Jessica did, and that has to start outside of the OR." Although the above scenario might have ended fine even if Lt. Naranjo hadn't spoken up, the what-if question it raises should send a chill down every facility leader's spine. Her experience — multiple procedures being per- formed on a patient without a proper second time out — is a textbook example of a situa- tion that could have resulted in an avoidable error capable of causing irreparable patient harm. And it often does. From 2005 to 2016, The Joint Commission reviewed 9,945 sentinel events, including 1,281 wrong-site surgeries — which encapsulates wrong-patient, wrong-procedure and wrong- 5 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 7 viscotcs@viscot.com • 800.221.0658 www.viscot.com ChloraPrep™ is a trademark of Becton, Dickinson and Company. XL Prep Resistant Ink XL Prep Proven to resist all preps ...including ChloraPrep ™ See demo here: w w w.bit.ly/XL-D emo • Meets Joint Commission's Marking Universal Protocol • The gold standard in correct site marking P SURGICAL ERRORS

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