Intraoperative Imaging
When
Missing item is not recovered
Emergency procedure in which a baseline count is not achieved
Trauma with multiple surgeons
Procedures in which two or more surgeons are operating in the same location of the patient's anatomy
To account for Surgical Items
RN Circulator
Done when...
Before start of procedure
New items added
Before closure of a cavity within a cavity
When wound closure begins
At skin closure
Relief of either the scrub tech or RN
What to pull
Bookwalter #1 and #2
Major Tray
Lap sponges
Lap sponge counter
Fluid warmer
**RFID Towels
Wound Vac
CS Warehouse
Read by
Radiologist
To facilitate the count process
RN Circulator
Sponges
Needles
Sharps
Miscellaneous (vessel loops, defogger, asepto, scratch pad)
What to pass off
All laparoscopic instruments
A-Line Cart
Hall across from OR 1
Direct communication to
Surgeon
To verify the integrity and completeness of soft goods when they are counted
Surgical Scrub Tech
With whom
RN Circulator AND Scrub Tech
If missing count sheet
Count total number of instruments in set
Across from OR 2
10mm size of needle that can't be _________ in radiographs.
Identified
To ensure RN Circulator sees surgical items being counted
Surgical Scrub Tech
Not to be used to rectify a discrepancy
Empty Suture packs
Supplies kept where at
In main supply room, across from the mesh
Blood Bank
In the lab department, back room left side of the dept.
Who determines to retrieve 10mm needle or not
Surgeon.
RN and surgeon will document the course of action.
To confirm that instruments or devices that are returned from the operative site are intact
Surgical Scrub Tech
Counts are done in progression from sterile field to off the field to the back table
False
Tracking of sponges
Tech to verbalize # of laps in
Nurse to write on white board
Nurse to use sponge counter
Tech to verbalize # of laps as they come out
Specimens
In lab to the right.