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- Confirm that the surgeon has designated the proper knee for the surgery location with a permanent marker.
- Request that the client state his or her name, surgery location, and procedure verbally.
- Using medical records and diagnostic reports, confirm the correct client and operative site.
- Request a "time-out" in the operating room to allow the surgeon to double-check the correct knee before making the incision.
The root cause of wrong-site surgery involves a breakdown in communication between the client and family and the health care team.
In the preoperative evaluation, information such as the client's identity, surgery location, and procedure should be verbally appraised and validated with medical records and radiographic diagnostic findings. This information should be gathered into a checklist that the intraoperative team may go through again and again, reducing undue distraction and delay in the operating room.
The operating room nurse is responsible for calling a "time out" so that each surgical team member can double-check the correct site of surgery, verify the site using the operative consent form, and ensure that the surgeon has marked the operative site on the client.
Showing the client an anatomic model will help them understand where the surgery will take place, but it will not prevent anyone from identifying the wrong site on the client.
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