| | FAQs about Universal Protocol | Joint Commission |
 | | The use of "must" and "should" is intended to distinguish between requirements (those steps that must be done as stated in the Guidelines) and preferred approaches that should be done as stated whenever possible but that allow some degree of flexibility to accommodate the unique characteristics of a particular organization. |
 | | As noted in our FAQs on the Joint Commission website, the Universal protocol requirements are applicable to all operative and other invasive procedures that expose patients to more than minimal risk, including procedures done in settings other than the operating room such as a special procedures unit, endoscopy unit, or interventional radiology suite. |
 | | Additionally, recognizing that Universal Protocol requirements promote safe patient care, treatment, and services, organization are certainly free to use any of the components of the protocol for any other type of procedure it so chooses. |
| www.jointcommission.org /PatientSafety/UniversalProtocol/up_faqs.htm (3439 words) |