Skip to Content
Advertisement
Search Icon
Search...
Search Hint
User Tools Link
Login
Search Icon
Menu Icon
Guidelines
At A Glance
Anesthesia
Aseptic Technique
Emergencies
Hand-Over Tools
Instruments
Medication
OR for Infection Preventionists
Pediatrics
Positioning
Procedures
Room Setup
Scrub Role
Skin Prep
Sterile Processing Basics
Vetted Links
Procedures in Action
A Glimpse into Infection Prevention
An Inside Look at OR Efficiencies
Tools
FAQs
Specialties
ASC Infection Prevention Policies and Procedures
Resources for Cardiac Catheterization
Resources for Endoscopy
Guidelines and Tools for the Sterile Processing Team
NAON Books
ARIN Books
Core Curriculum for the RNFA
Perioperative Care of the COVID-19 Patient
Accreditation
AORN ACCREDITATION ASSISTANT
Joint Commission Standards
Ambulatory
Critical Access Hospital
Hospital
Office Based Surgery
Sterile Processing
AAAHC Standards
Accreditation for Ambulatory Health Care
Accreditation for Medicare Deemed Status
Devices
Equipment and Supplies Finder
Device Video Instructions
CineMed
Home
AAAHC Accreditation
Accreditation for Medicare Deemed Status
10.I. Surgical and Related Services: General Requirements Standards
10.I.O. Attire contaminated with blood or body fluid is laundered by an approved laundry.
10.I.O.1. Laundry facility adheres to national guidelines
Navigation
X
10.I. Surgical and Related Services: General Requirements Standards
10.I.A. Surgical procedures must be performed in a safe manner by qualified physicians who have been granted clinical priveleges by the governing body of the ASC in accordance with approved policies and procedures of the ASC.
10.I.A. Resources
10.I.B. Surgical procedures performed are limited to those approved by the governing body upon the recommendation of qualified medical staff.
10.I.B. Resources
10.I.D. The ASC must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery.
10.I.D.1. Completion of history and physical 30 days before surgery
10.I.D.3. Based on standards of practice, guidelines, and applicable laws
10.I.F. The ASC must ensure each patient has the appropriate pre-surgical and post-surgical assessments completed, and that all elements of the discharge requirements are completed.
10.I.F.1. Presurgical assessent completed by the surgeon/qualified physician
10.I.F.2. Include documenation of allergies to drugs and biologicals
10.I.F.3. History and physical in the patient's record before surgery
10.I.G. Informed consent for the proposed procedure is obtained.
10.I.G.1. Documentation of discussion of the proposed procedure and alterative treatments
10.I.G.2. Written consent obtained before surgery
10.I.J. The organization has written policies regarding the procedures and treatments offered to patients.
10.I.J.3. Post-procedural care
10.I.L. If applicable, protocols for handling, maintenance, and storage of blood or blood products for transfusion and/or human cells or tissues for transplantation are present.
10.I.L.2. Written protocols for handling, maintenance and storage of human cells
10.I.L.3. Written protocols are consistent with a recognized authority (eg, AATB, FDA)
10.I.M. A written policy is in place for assessing the risk of, and implementing practices to prevent, deep vein thrombosis when appropriate for the patient.
10.I.M. Resources
10.I.O. Attire contaminated with blood or body fluid is laundered by an approved laundry.
10.I.O.1. Laundry facility adheres to national guidelines
10.I.O.2. Laundry facility is approved by the organization
10.I.P. The surgical environment contains safeguards to protect patients and others from cross-infection.
10.I.P.1. Policies define OR attire
10.I.P.2. Policies address aseptic technique
10.I.P.3. Policies address removal or covering of the patient's clothing
10.I.P.4. Policies require donning of freshly laundered attire
10.I.P.5. Policies address surgical hand antisepsis
10.I.P.6. Policies address surgical site antisepsis
10.I.P.7. Temperature, humidity, and air pressure controls follow nationally recognized guidelines
10.I.Q. If procedures requiring counts of sponges, sharps, and instruments are performed, a written policy for conducting counts is present.
10.I.Q.1. Address types of procedures that require counting
10.I.Q.2. Require a count before the start of the procedure and before skin closure
10.I.Q.3. Address reporting counts to the surgeon
10.I.Q.4. Document counts in the patient's record
10.I.Q.5. Actions if the count is not correct
10.I.Q.6. Confirm the policy is followed
10.I.R. Prior to the surgery or procedure, the intended procedure is verified.
10.I.R.1. Written verification policy
10.I.R.2. Patient or authorized representative participation
10.I.R.3. Documentation of verification
10.I.S. Prior to a surgery or procedure involving level or laterality, the site is marked.
10.I.S.1. Written site marking policy
10.I.S.3. Patient or authorized representative participation
10.I.S.4. Marking by the surgeon or team member
10.I.S.5. Documentation of site marking
10.I.T. A time-out is conducted immediately prior to beginning a procedure.
10.I.T.1. Provider responsibility for the time out
10.I.T.2. Full team engagement in the time out
10.I.T.3. Verify patient, procedure, site, equipment, and implants
10.I.U. The findings and techniques of a procedure are accurately and completely documented immediately after the procedure.
10.I.U.4. Documentation of preoperative antibiotics
Search Icon
Search...
Print
Element of Compliance
Laundry facility adheres to national guidelines
Resources
Access to this content requires a facility subscription to both eGuidelines+ and the AORN Accreditation Assistant for the AAAHC
If your facility has a subscription, please check with them about accessing this resource.
Access Options
If you would like to learn more about purchasing a facility subscription to this content, please click the button below.
Learn More