Instrument Counts
Sharps
Gone Missing
Sponge Counts
Miscellaneous
100
This is used to verify the instruments in the tray being counted...
What is the instrument count form.
100
When a needle pack is opened onto the sterile field, the scrub and circulator must do this...
What is verify the number of needles.
100
This and linen must stay in the OR from the initial count until after the final count has been reported as correct...
What is the trash. (All counted items are removed at the end of each procedure.)
100
These types of sponges are used for surgery...
What are xray detectable.
100
These people can initiate a surgical count...
Who are anyone on the surgical team.
200
If this happens to a counted instrument it must be isolated from the sterile field...
What is dropped or contaminated.
200
These should be kept to verify the needle count as needed...
What are the suture packages.
200
In the event of an incorrect count, who needs to be notified?
Who are the staff sugeon, charge nurse and radiology for an xray to rule out a retained foriegn body.
200
Types of sponges that are required to be counted (name 4)...
What are radiopaque counted sponges (4 x 4's, 2 x 2's), laparotomy sponges (12 x 12, 18 x 18, episiotomy), surgical patties, keuttners and cottonballs.
200
Counts are done by these team members...
Who are the circulator and the scrub (at least one has to be a Registered Nurse).
300
Intruments will be counted when this is or could be entered...
What is a body cavity (incision 3" or greater).
300
If the red sharps box becomes full - this needs to be done prior to sealing the counter...
What is count by two staff members, seal and remove from the count sheet.
300
Closure may continue during the search for a missing item but the patient must remain this...
What is anesthetized and draped until the radiology report is obtained. The staff radiologist must report the results to the staff surgeon.
300
What must the scrub do to the sponge packet when counting with the circulator?
What is break the band and seperate the sponges when counting so both team members can see the sponges.
300
The dressings opened onto the sterile field at the end of the case need to be this...
What is NON-xray detectable (count sponges can't be used for dressings).
400
A limited instrument count would include these (name three)...
What are temporary aneurysm clips, dietrich bulldogs, potts bulldogs, fistula tips, coronary artery occluders, femoral head trials, S & T vascular clamps, titus needles, varus needles and yassergils.
400
These are used for and counted in ophthomology for vitrectomies...
What are scleral plugs.
400
This must be done if there is an incorrect count and an xray has been taken...
What is a PSN.
400
When using a throat pack - this must be done...
What is activate the "throat pack in" sign on the OR door - it stays this way until the throat pack is removed.
400
What are the times to perform a count...
What are at the beginning of the case, the closure of any cavity, initial wound closure, start of the skin closure and permanent relief of the scrub and/or circulator.
500
Spinal procedures by these approaches need to have a postoperative xray taken in the OR and do not need an instrument count...
What are transthoracic and transabdominal.
500
An xray should be taken for a missing needle larger than this length...
What is 17mm.
500
Where do you document if sponges are intentionally left in a wound...
Where are in EPIC under count comments and in the nursing notes (remember to add the log number).
500
When a sponge count bag is used this must be done...
What is place one sponge in each compartment for visualization during counting. Bagged sponges must be verified by two staff members (one an RN) prior to removing from the count.
500
This item should be used instead of laps, towels or malleable retractors when closing the abdominal cavity...
What is a visceral retainer.
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