We do 3 to 4 FNA's on a daily basis and no matter the site thyroid, liver ..Etc we go through the time out procedure every time, yes it may a little bit overkill for a palpable mass or using ultrasound guidance but none the less you must do it just like labeling the lido cane when it is the only syringe on the tray. -----Original Message-----
------------------------------ Message: 3 Date: Mon, 23 Mar 2009 14:10:35 -0400 From: "Amy Self" <as...@georgetownhospitalsystem.org> Subject: [Histonet] JCAHO - Universal Protocol To: <histonet@lists.utsouthwestern.edu> Message-ID: <f8f487fec884334c89426062c6c6fe420221f...@exchange.gmhpost.com> Content-Type: text/plain; charset="us-ascii" Dear Histonetters, Is there anyone out there that follows the JCAHO - Universal Protocol/Time Out procedure when the pathologist perform his/her own FNA's? We have a pathologist that will perform FNA's when asked and I was told that when he performs these procedures that we need to be following this universal protocol/time out procedure that is followed in the OR for surgeries. I have all the info. from the OR but to me the procedure that they follow is just too in-depth for the palpable masses that are aspirated for cytology. So I am turning to you all for help. I was just wondering what other facilities were doing about this. Any help would be appreciated. Thanks in advance. Amy Self Georgetown Hospital System _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet