Final answer:
The additional step in orthopedic procedures is marking a NO on the non-operative limb to prevent wrong-site surgery, combined with thorough 'time out' and 'sign in' protocols to ensure patient safety and accuracy of the procedure.
Step-by-step explanation:
The additional step required in orthopedic procedures is marking a NO on the non-operative limb. This is a safety measure to prevent surgery on the incorrect limb. Time out procedures before skin incision ensure that every member of the surgical team (nurses, surgeons, anesthesia professionals) orally confirms the patient identity, surgical site, and procedure.
During the sign-in phase before the induction of anesthesia, essential items such as confirming prophylactic antibiotics administration, ensuring all essential imagery is displayed, and verifying patient consent are reviewed. The process of time out and sign-in aims to increase patient safety and minimize errors during surgery through effective communication among medical team members.
Implementing a checklist akin to the one proposed by Dr. Pronovost for ICU doctors can enhance adherence to safety protocols. Nurses play a crucial role in ensuring each step is followed by observing and voicing concerns if a procedure step is missed. All these measures collectively contribute to a safer surgical environment and to better patient outcomes.