Counts
The kind of count is performed during skin closure.
What is "Final count"?
A discrepancy in a count occurs that is not reconciled is called:
What is "Incorrect Count"?
The personnel criteria that must be met in order to conduct a count must include one:
Who is an "RN"?
"This" has been shown to reduce the reports of incorrect counts and rates of overall serious reportable events.
What is "Use of consistent, standardized practice"?
An item that was not intended to remain in the patient
What is "Retained surgical item"
The kind of count that is conducted before the procedure begins.
What is "Initial count"?
If a needle is missing, after a thorough search of the wound and sterile field, "this" must be done
What is "Xray"?
Management of all sharps on the sterile field is continually maintained by:
Who is the "Scrub person"?
A measure used to reduce variability and create a consistent standardized practice is:
What is "Implement new count procedure, Audits, Education, Standardization of dry-erase boards, or Updating count sheets"
Responsible for the prevention of retained surgical items falls on:
Who is "ALL perioperative team members"?
A count when the skin is closed, and all countable items used and unused are accounted for.
What is a "Correct count"?
"This" is when there is a discrepancy in a count that occurs but is reconciled; this is considered a near miss
What is a "Miscount"?
Counts must be conducted by how many staff members
What is "Two"?
A systems approach to preventing RSI’s includes:
What is "Using standardized counting procedures, Using standardized reconciliation procedures, Methodical wound exploration, Radiological confirmation, Team training, or Enhanced communication"?
"These" are the most commonly retained items
What is "surgical sponges"?
Items be counted when on and off the sterile field
What is "Separated, Pointed out, Audibly"
The final count should be initiated when:
What is "During skin closure"
When using a sponge holder, "this" many sponges should be placed in each pocket.
What is "ONE"?
Dressing sponges can/should be placed onto the sterile field when:
What is "When the skin is closed"?
Contributing factors for RSI’s are:
What is "Distractions and multi-tasking"?
Items are included in counts are:
What is "Soft goods, Sharps and needles, Instruments, and Small misc. items"?
When a discrepancy in the count is identified the RN circulator should:
What is "Call for assistance, Search the room, and recount"?
"This" person can request a count to be performed any time a discrepancy is suspected.
Who is "ALL perioperative team members"?
Distractions cause attention to be diverted from the counting task. An example of a distraction is:
What is: "Music, Non-essential conversation, Personnel entering the OR, Ringing telephones, Multi-tasking, or Background noise"
Intentionally Retained Surgical Items are documented as:
What is "Intentionally Retained Foreign Objects in the LDA Avatar"?