Another Outline for a 4-Door™ Course

Title of the Course

Universal Protocol To Prevent Wrong Site, Wrong Procedure, Wrong Person Surgery

Training Goal

To comply with the principles, procedures, and implementation guidelines associated with the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery (as approved by the Board of Commissioners of Joint Commission for the Accreditation of Healthcare Organizations [JCAHO]).

Audience

Nurses who are members of surgical teams.

Library

HTML page: The Universal Protocol (for easy reading on the screen)

HTML page: Implementation Guidelines for the Universal Protocol (for easy reading on the screen)

PDF file: Universal Protocol (one page, for easy printing and reference)

PDF file: Implementation Guideline documents (one page, for easy printing and reference)

LINK: FAQ area associated with the Universal Protocol and the implementation Guidelines.

Graphic: Graphic summary of the Universal Protocol (for display on the screen for visual learners)

Print: Wallet-sized summary card with key guidelines (Dos and Don'ts) for implementing the Universal Protocol.

Playground

TRUE OR FALSE: The computer displays various statements related to the Universal Protocol, implementation guidelines, and FAQ. Players categorize each statement as true or false.

CATEGORIZE: The computer displays various organs and surgical situations. Player clicks on "Mark" or "Don't Mark" buttons.

SEQUENCE: The computer presents various steps in the Universal Protocol to be arranged in the proper sequence.

Cafe

OQ: The universal protocol contains the following statement:

Active involvement and effective communication among all members of the surgical team is important for success.

"Translate" this statement into one or more specific instructions for a nurse in a surgical team. Make sure that statement involves clear instructions that can be immediately carried out by the nurse under appropriate situations.

OQ: The implementation guidelines for the Universal Protocol contains the following statement:

The organization should have processes and systems in place for reconciling differences in staff responses during the "time out."

"Translate" this statement into one or more specific instructions for a nurse in a surgical team. Make sure that statement involves clear instructions that can be immediately carried out by the nurse under appropriate situations.

Discussion Forum: Training nurses on the Universal Protocol will reduce errors associated with wrong site, wrong procedure, and wrong person errors. Other than this type of education and training, what can be done to reduce errors associated with wrong site, wrong procedure, and wrong person surgery?

Final Test

This will be a scenario based performance test. Learners will be given different scenarios (mini-cases) and asked to identify which implementation guideline (if any) was violated and what action should be taken. The test will contain a pool of 20 scenarios involving different procedures, organs, and situations. Whenever a learner logs in for the test, he or she will be presented with a random set of 10 different scenarios. The answers will be evaluated by the course facilitator.

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