I LOVE TO COUNT
The name of the count used as the baseline and must be done before the procedure starts
What is the INITIAL count
This layer of the wound cannot be closed until all counts are verified correct
Whay is final skin closure
We are now going to start counting these items prior to any Port placement/removal
What are sponges (raytecs) & sutures
Never to be used DURING a Port placement/removal procedure
What are 4x4 gauze sponges
True or False:
Items on the back table should be hidden
False
The two persons responsible to perform all counts
Who is the RN and Scrub person
10 Raytecs to a container
What is the correct amount of Raytec sponges in each container
This is not an acceptable practice to reconcile an incorrect count
What is to substitute an item to keep the count the same
or
What is memory or recall
Never do this to Raytec sponges
What is to remove the Radiopaque string
True or False:
Raytecs are separated and counted individually
True
When couting pre-packaged items you verify if the count of the packaged itm matches this on the package label
What is the "correct manufacturer's quantity"
State the order of counting
What is
1. Surgical field first
2. Mayo stand/ Back table second
3. Circulator area third
This is how we count all sponges, sharps and miscellaneous soft goods during the counts
What is to separate, point out, visually verify each counted item together
Trash and linen during a procedure
What is to NOT remove until patient has lfet the room
The phase of Universal Protocol where final closure should not begin UNTIL final count is completed and correct
What is Final Pause and Count
You must "verify" this when accounting for each counted sponge to ensure patient safety and accuracy of the count
What is the radiopaque marker
In documentation, the counts are verified by who?
Who is the RN
We take this action to seek additional help/guidance and provide notification when staff refuse to comply with count policy
What is Chain of Command
The X-ray detectable sponges (Raytecs) should never be used for this
What is the patient's wound dressing
An initial sponge count is not performed due to the emergent nature of the patient's condition and final sponge counts are noted to be waived as a result by LIP
What is WAIVED
This is an Adverse Event and requires documentation on a SERS report
What is Florida Safety Event Reporting (SERS) Policy stating a procedure to remove unplanned foreign objects remaining from a surgical procedure
This task is associated with the risk for human error, so should be performed in a standardized process, free of distractions
What is the procedural COUNT
Only these type of sponges will be used on the STERILE field during the procedure
What is Raytec sponges (sponges with radiopaque markers)
A CC policy that involves communication of imaging results of a suspected retained foriegn body from staff Radiologist to Physician
What is a Code Rust
The doctor must "sweep" this at the end of the procedure if any item was packed during the procedure
What is an orifice or cavity