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Element of Performance

Ensure a written, alternative process is in place for patients who refuse site marking or when it is technically or anatomically impossible or impractical to mark the site. For example:
  • Minimal access procedures treating a lateralized internal organ, whether percutaneous or through a natural orifice

  • Mucosal surfaces

  • Perineum

  • Teeth

  • Premature infants, for whom the mark may cause a permanent tattoo

Documentation Required

Identified Risk


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