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Universal Protocol (UP) Standards
UP.01.03.01 A time-out is performed before the procedure.
EP3 Time-out process for multiple procedures performed on the same patient
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Universal Protocol (UP) Standards
UP.01.01.01 Conduct a preprocedure verification process.
EP1 Preprocedure verification process
EP2 Preprocedure verification list
UP.01.02.01 Mark the procedure site.
EP1 Procedure sites to be marked
EP2 Preprocedure site marking
EP3 Licensed practitioners who may mark the procedural site
EP4 Method of marking
EP5 Alternative marking processes
UP.01.03.01 A time-out is performed before the procedure.
EP1 Timing of the time out
EP2 Characteristics of time out
EP3 Time-out process for multiple procedures performed on the same patient
EP4 Minimum agreement during time-out
EP5 Time-out documentation
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Element of Performance
When two or more procedures are being performed on the same patient and the person performing the procedure changes, perform a time-out before each procedure is initiated.
Identified Risk
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