Incorrect Counts
This is expected if you have and incorrect count and are unable to find the lost item
What is an x-ray
The two people involved in counting
Who is the scrub and circulator?
What is separate and point and count audibly
These are three identifiers used to verify the patient prior to surgery
What is Date of Birth, Full Name, and Fin #?
These people should be in the operating room during the time out
Surgeon, Anesthesia, Scrub tech and Circulator
This is what is expected if the missing item is found
What is a recount
This should be utilized throughout the procedure
What is a count bag?
This is standard of care when a cavity is involved
What is counting instruments?
These documents MUST be signed prior to leaving preop
What is the consent for procedure, blood consent, and Anesthesia consent?
This person should be in preop at 0645 for Total joints and 0700 for other procedures
Who is the circulating Nurse.
This should be performed when the scrub or circulator is relieved and leaving the building
What is a structured hand over count?
This is performed after each item is counted
What is document on the whiteboard?
Confirmation of what two things is standard practice prior to bringing the patient to the operating room
What is the procedure? What laterality if applicable?
This person is responsible for ensuring everyone has had a break and lunch
Who is the Charge Nurse
THIS SHOULD NEVER HAPPEN IF THERE IS A DISCREPANCY IN THE COUNT
What is don't let the patient leave the room
This is expected when a sponge is placed in a cavity?
What is informing the nurse?
What is recount the item that was being counted?
These two people are expected to be present when confirming the patient arm band and procedure prior to the operating room?
Who are the preop nurse and O.R. Nurse?
These people, when not in a room or waiting on their room to start, are responsible for turning over rooms, assisting with opening, counting, resourcing etc.
Who is everyone not in an ongoing procedure?
What is ask for help to find the item?
The nurse should do this when a sponge is placed in a cavity
What is document on the board?
What is count out loud and visualize
This is the time the first patient of the day should wheel into the operating room if it is a total joint
What is 0700?
Who is responsible for returning supplies when not in a procedure?
Who is everyone?