Facilities must report any surgery or other invasive procedure performed on the wrong site, defined as any surgery or other invasive procedure performed on a body part or site that is not consistent with the correctly documented informed consent for that patient. Surgery or other invasive procedure includes, but is not limited to, endoscopies, lens implants, lesion removal, injection into joints. Excludes emergent situations that occur in the course of surgery or other invasive procedure and/or whose exigency precludes obtaining informed consent. Intended to capture instances of: surgery or other invasive procedure on the right body part but on the wrong location/site on the body; e.g., left/right (appendages/organs), wrong digit, level (spine), stent placed in wrong iliac artery, steroid injection into wrong knee, biopsy of wrong mole, burr hole on wrong side of skull; delivery of fluoroscopy or radiotherapy to the wrong region of the body; use of incorrectly placed vascular catheters; use of incorrectly placed tubes (for example, feeding tubes placed in the lung or ventilation tubes passed into the esophagus).
State of Nevada Healthcare License types now required by SB457 from the 2019 legislative session, and implemented as of 1/1/20, to report to the Sentinel Events Registry include the following:
Anyone employed by a medical facility must notify the patient safety officer within 24 hours; the patient safety officer must report the event within 13 days, and must submit a second report with contributing factors, corrective actions, and plan to remedy within 45 days.
Nevada State Health Division via RedCAPS
Registrar
500 Damonte Ranch Parkway
Suite 657
Reno, NV 895201
Phone: (775) 684-5297
Administrator
4126 Technology Way
Suite 200
Carson City, NV 89706
Phone: (775) 684-5911
Supervisor
3811 W. Charleston Blvd.
Suite 205
Las Vegas, NV 89102
Phone: (702) 486-3568
