RN Responsibility
A place where patients name, date of birth, and allergies are visible for the entire operative team.
What is the white board
The most common items left inside a patients body after a surgical procedur
Whats is sponges and needles
These are counted during a surgical procedure without possibility of entering a body cavity.
What sponges, sharps, miscellaneous items.
The amount of times sharps, sponges and miscellaneous Items should be counted during closure a open body cavity surgery.
What is 2
This the suggested sequence of of counts
What is sponges, sharps, miscellaneous items, instrument
Any intraopertive count that reveals a number inconsistent with the number on the running count on the white board or instrument sheet.
What is an incorrect count
A rare but serious preventable error that can result in patient harm during a open body cavity surgery.
What is a Retained Surgical Instrument
These are counted during any laparoscopic or open body cavity surgery.
What are sponges, sharps, miscellaneous items, and surgical instrument.
This should be minimized during surgical count.
What is distractions, noise, and unnecessary interruptions
This person yells, "OPENING GUYS!!!" before setting up the sterile field.
Who is Laura
This shall be conducted prior to the incision or procedure to establish a baseline.
What is an initial count?
The criteria for when to count instruments before a surgical procedure
What is the depth and location of the wound is such that the item could be lost of left in the patient
This must never be used as post-operative wound dressings.
What is counted x-ray detectable sponges
This is done at the time of permanent relief of either the scrub person or the circulating RN.
What is a Relief Count?
The persons responsible for communicating that a sponge or item is placed into a cavity
Who is the surgeon and surgical tech
A device is used to identify the location of tagged sponges, vaginal packing, towels during surgery.
What is Radio Frequency Detection Device
The estimated cost range of malpractice payments of retained surgical instruments
What is $51 to $3,988,829
Bulldogs, Ligaclip bars (boats), stapler anvils and reload cartridges, vessel loops, and Fish
What are Miscellaneous Items Counted during an open body cavity surgery.
True of False:During an incorrect count matching suture packages to the number of needles accounted for is acceptable to rectify a count discrepancy
What is False
You begin at the surgical site and immediate operative area, then move to the mayo stand, and then to the back table.
What is Count Sequence?
The electronic quality variance reporting system used when an incorrect count occurs in the OR?
What is the RL Report? ( Real Learning Solution)
The number of retained surgical instruments reported to the Joint Commission between 2004-2014
What is 986?
The most common location where retained surgical instruments are found
What is the abdomen and pelvis
This is done IMMEDIATELY upon discovery of count discrepancy
What is scanned with Radio Frequency Detection device.
This is correct technique to perform each and every count
What is audibly and all items viewed concurrently as each item is counted by the scrub person and RN, separating for visibility