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Hi, I am the RN Clinical Services Director at an Academic Medical Center and was wondering how you assisted your teams in the implementation and success with the Safe Procedure Process in your clinics. Do you require a minimum of 2 clinical staff (provider and clinical staff member) to remain in the room with the patient during the procedure to complete the pre-procedure briefing, time out and post-procedure debrief and required documentation? If not, what is your process?

Best regards,

Jennifer Edwards, BSN, RN, OCN, LSSGB

RN Clinical Services Director

BUMGP Clinical Services | RN Navigators

Banner University Medical Group-Phoenix at Banner University Medical Center Phoenix

Email: Jennifer.Edwards9@bannerhealth.com

I work as a health care surveyor and I have seen different nursing roles depending on the level of anesthesia. Many organizations that only use local or topical for outpatient procedure may have just provider and/or clinical staff if needed for assisting.  I expect to see documentation of time out as well as pre procedure and post procedure assessments.  Sites do this with one or two staff depending on need as well as staffing available. 

Hi, I am the RN Clinical Services Director at an Academic Medical Center and was wondering how you assisted your teams in the implementation and success with the Safe Procedure Process in your clinics. Do you require a minimum of 2 clinical staff (provider and clinical staff member) to remain in the room with the patient during the procedure to complete the pre-procedure briefing, time out and post-procedure debrief and required documentation? If not, what is your process?

Best regards,

Jennifer Edwards, BSN, RN, OCN, LSSGB

RN Clinical Services Director

BUMGP Clinical Services | RN Navigators

Banner University Medical Group-Phoenix at Banner University Medical Center Phoenix

Email: Jennifer.Edwards9@bannerhealth.com

I really appreciate your response and information Elizabeth, thank you! Have you seen that those staff remain in the procedure until completion, or do they just complete the time out and then step out of the room?

I work as a health care surveyor and I have seen different nursing roles depending on the level of anesthesia. Many organizations that only use local or topical for outpatient procedure may have just provider and/or clinical staff if needed for assisting.  I expect to see documentation of time out as well as pre procedure and post procedure assessments.  Sites do this with one or two staff depending on need as well as staffing available. 

Hi, I am the RN Clinical Services Director at an Academic Medical Center and was wondering how you assisted your teams in the implementation and success with the Safe Procedure Process in your clinics. Do you require a minimum of 2 clinical staff (provider and clinical staff member) to remain in the room with the patient during the procedure to complete the pre-procedure briefing, time out and post-procedure debrief and required documentation? If not, what is your process?

Best regards,

Jennifer Edwards, BSN, RN, OCN, LSSGB

RN Clinical Services Director

BUMGP Clinical Services | RN Navigators

Banner University Medical Group-Phoenix at Banner University Medical Center Phoenix

Email: Jennifer.Edwards9@bannerhealth.com